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NPI Code Detail

MEDICARE: FABB SERVICES LLC

MEDICARE: FABB SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care1-1154-GHFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225585896
Entity Type Code : Organization
Provider Name (Legal Business Name) : FABB SERVICES LLC
Provider Business Mailing Address
First Line : 2990 NW 203 TERRACE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056
Country : US
Telephone Number : 786-417-8260
Fax Number :
Provider Business Practice Location Address
First Line : 2990 NW 203RD TER
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-1902
Country : US
Telephone Number : 786-417-8260
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. FLORENCE IBIERE BOOKER-SIMMONS
Credential :
Telephone Number : 786-417-8260
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/01/2016

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Directions to “FABB SERVICES LLC ” Practice Location

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