MEDICARE: FRIENDLY DAY PROGRAM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1366256810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY DAY PROGRAM LLC

Provider Business Mailing Address
First Line	:	566 MAIN ST
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-5409
Country	:	US
Telephone Number	:	207-331-0519
Fax Number	:

Provider Business Practice Location Address
First Line	:	566 MAIN ST
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-5409
Country	:	US
Telephone Number	:	207-331-0519
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OMAR SOWAMRAH
Credential	:
Telephone Number	:	207-327-9933

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	07/24/2025

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