Provider Demographics
NPI:1821648650
Name:ADVANCED CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:ADVANCED CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MOWLID
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-699-9225
Mailing Address - Street 1:88 KNOX ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7406
Mailing Address - Country:US
Mailing Address - Phone:207-699-9225
Mailing Address - Fax:
Practice Address - Street 1:88 KNOX ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7406
Practice Address - Country:US
Practice Address - Phone:207-513-6354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities