Provider Demographics
NPI:1548738024
Name:DECENT HEALTH CARE LLC
Entity Type:Organization
Organization Name:DECENT HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:FAYSAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAYAF MANAHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-807-9115
Mailing Address - Street 1:41 CATHEDRAL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:179 MOUNT VERNON AVE STE 5
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4233
Practice Address - Country:US
Practice Address - Phone:207-807-9115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health