| NPI | 1649996158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOUHOURI SEPE Managing Member 207-352-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 372600000X Adult Companion | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-09-27 |