Healthcare Provider Details
I. General information
NPI: 1265709679
Provider Name (Legal Business Name): ABCM CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2011
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 PARRIOTT ST
APLINGTON IA
50604-1063
US
IV. Provider business mailing address
1320 4TH ST NE
HAMPTON IA
50441-1104
US
V. Phone/Fax
- Phone: 319-347-2309
- Fax: 319-347-6347
- Phone: 641-456-5636
- Fax: 641-456-2320
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
ALLBEE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 641-456-5636