Organization · NPI-2

Abba Home Health Agency

In Home Supportive Care · Dallas, TX

NPI number1922663194
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1922663194
Entity type
Organization (NPI-2)
Legal business name
Abba Home Health Agency
Organization subpart
No
Enumeration date
May 3, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

12516 Audelia Rd Apt 1703
Dallas, TX 75243-2263

Phone 469-685-5756

Mailing address

12516 Audelia Rd Apt 1703
Dallas, TX 75243-2263

Phone 469-685-5756

Authorized official

John Koomson
Administrator
4696855756

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other In Home Supportive Care providers in Dallas, TX