Abby Medical Supply
Home Health in Grand Prairie, TX. Organization (NPI-2).
NPI number1225360225
StatusActive
Last updated in NPPESFeb 2, 2010
Details
- NPI
- 1225360225
- Entity type
- Organization (NPI-2)
- Legal business name
- Abby Medical Supply
- Organization subpart
- No
- Enumeration date
- Feb 2, 2010
- Last updated
- Feb 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
4931 Autumn HlGrand Prairie, TX 75052-2445
Phone 972-266-5216 · Fax 972-266-5216
Mailing address
4931 Autumn HlGrand Prairie, TX 75052-2445
Phone 972-266-5216 · Fax 972-266-5216
Authorized official
Kelechi N Josephs
Administrator
9722665216
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