Healthcare Provider Details

I. General information

NPI: 1770149692
Provider Name (Legal Business Name): QUALITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 CANAL ST STE 2
LEWISTON ME
04240-8721
US

IV. Provider business mailing address

124 CANAL ST STE 2
LEWISTON ME
04240-8721
US

V. Phone/Fax

Practice location:
  • Phone: 207-344-9221
  • Fax:
Mailing address:
  • Phone: 207-344-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FERDUS YUSUF AWALI
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 207-344-9221