Organization · NPI-2

Abba Residential, LLC

In Home Supportive Care · Cedar Hill, TX

NPI number1144614900
StatusActive
Last updated in NPPESMar 19, 2015

Details

NPI
1144614900
Entity type
Organization (NPI-2)
Legal business name
Abba Residential, LLC
Organization subpart
No
Enumeration date
Mar 19, 2015
Last updated
Mar 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

1144 Wishing Well Ct
Cedar Hill, TX 75104-8254

Phone 404-484-0061

Mailing address

1144 Wishing Well Ct
Cedar Hill, TX 75104-8254

Phone 404-484-0061

Authorized official

Charles Mgbam
Program Administrator
4044840061

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