Organization · NPI-2

Aba Way LLC

Community/Behavioral Health · Lakeland, FL

NPI number1275396392
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1275396392
Entity type
Organization (NPI-2)
Legal business name
Aba Way LLC
Organization subpart
No
Enumeration date
Feb 1, 2024
Certification date
May 14, 2024
Last updated
May 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

2700 S Florida Ave
Lakeland, FL 33803-3863

Phone 863-808-7790 · Fax 863-250-1812

Mailing address

4937 Us Highway 98 N Ste 812
Lakeland, FL 33809-3610

Phone 305-216-8076 · Fax 863-250-1812

Authorized official

Raquel Suarez
Director Of Operations
3052168076

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