MEDICARE: ABR FELICITY UNLIMITED 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
1	385H00000X	Respite Care
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1235947011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABR FELICITY UNLIMITED LLC

Provider Business Mailing Address
First Line	:	6632 GARLING DR
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2610
Country	:	US
Telephone Number	:	734-552-5922
Fax Number	:

Provider Business Practice Location Address
First Line	:	6632 GARLING DR
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2610
Country	:	US
Telephone Number	:	734-552-5922
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANGHAM ALGAHAIM
Credential	:
Telephone Number	:	734-552-5922

Provider Enumeration Date	:	12/25/2024
Last Update Date	:	12/25/2024

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