Healthcare Provider Details

I. General information

NPI: 1144081183
Provider Name (Legal Business Name): ABCM CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S 10TH AVE E
LAKE MILLS IA
50450-1870
US

IV. Provider business mailing address

PO BOX 436
HAMPTON IA
50441-0436
US

V. Phone/Fax

Practice location:
  • Phone: 641-592-4900
  • Fax: 641-592-2226
Mailing address:
  • Phone: 641-456-5636
  • Fax: 641-456-2320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICHARD A. ALLBEE
Title or Position: CEO
Credential:
Phone: 641-456-5636