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NPI Code Detail

MEDICARE: ABCM CORPORATION

MEDICARE: ABCM CORPORATION
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
1310400000XAssisted Living FacilityS0128IA

General Provider Information

NPI Number : 1841292448
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABCM CORPORATION
Provider Business Mailing Address
First Line : 1320 4TH ST NE
Second Line :
City : HAMPTON
State : IA
Zip : 50441-1104
Country : US
Telephone Number : 641-456-5636
Fax Number : 641-456-2320
Provider Business Practice Location Address
First Line : 401 W 10TH AVE N
Second Line :
City : CLEAR LAKE
State : IA
Zip : 50428-4202
Country : US
Telephone Number : 641-357-5244
Fax Number :
Authorized Official
Title or Position : CFO
Name : TIMOTHY ROBERTS
Credential :
Telephone Number : 641-456-5636
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/18/2010

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Directions to “ABCM CORPORATION ” Practice Location

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