Organization
SOUTHERN MAINE HOMECARE, LLC
Active
Other names
Southern maine homecare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIAZIZ A MOHAMED ADMINSTRATOR (MANAGER)
(207) 615-3103
Entity
Organization
Contact information
Practice address
118 ANDERSON ST, PORTLAND, ME 04101-2546
(207) 615-3103
Mailing address
PO BOX 3153, PORTLAND, ME 04104-3153
(207) 615-3103
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ME
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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