Healthcare Provider Details

I. General information

NPI: 1063652089
Provider Name (Legal Business Name): ABBEY HOME HEALTH AND PALLIATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 03/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 ARTESIA BLVD STE 310
BELLFLOWER CA
90706-6769
US

IV. Provider business mailing address

10230 ARTESIA BLVD STE 310
BELLFLOWER CA
90706-6769
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-0600
  • Fax: 562-461-0116
Mailing address:
  • Phone: 562-461-0600
  • Fax: 562-461-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number3137732
License Number StateCA

VIII. Authorized Official

Name: TONY Q OLIVERA
Title or Position: ADMINISTRATOR / CEO
Credential:
Phone: 562-461-0600