NPI 1114334877

Community Health and Education

Organisation Supports Brokerage Agency Lewiston, ME

Practice location

Address: 57 Birch St, Lewiston, ME 04240
Phone: (207) 344-9221
Mailing address: 284 Lisbon St, Lewiston, ME 04240

Authorised official

Name: Ferdus Yusuf Awali
Title: Directpr
Phone: (207) 344-9221

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Maine →

Registry record

NPI: 1114334877
Entity type: Organization
NPI issued: 15 Jul 2014
Record last updated: 15 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.