Organization
PRIME HOME
Active
Other names
Home Health aide and personal care
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE UWERA (CEO AND MANAGING DIRECTOR)
(207) 409-4749
Entity
Organization
Contact information
Practice address
246 AUBURN ST APT 41, PORTLAND, ME 04103-2155
(207) 409-4749
Mailing address
246 AUBURN ST APT 41, PORTLAND, ME 04103-2155
(207) 409-4749
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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