Organization · NPI-2

Abana Home Healthcare Agency LLC

Home Health · Racine, WI

NPI number1316496540
StatusActive
Last updated in NPPESSep 29, 2016

Details

NPI
1316496540
Entity type
Organization (NPI-2)
Legal business name
Abana Home Healthcare Agency LLC
Organization subpart
No
Enumeration date
Sep 29, 2016
Last updated
Sep 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

310 5th St Ste 101b
Racine, WI 53403-4605

Phone 262-880-6556

Mailing address

Po Box 81574
Racine, WI 53408-1574

Authorized official

Denise Harris
Owner
2628806556

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