Healthcare Provider Details

I. General information

NPI: 1568756625
Provider Name (Legal Business Name): ABCM CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 PARK AVE
SAC CITY IA
50583-2427
US

IV. Provider business mailing address

1320 4TH ST NE
HAMPTON IA
50441-1104
US

V. Phone/Fax

Practice location:
  • Phone: 712-662-3818
  • Fax: 712-663-3393
Mailing address:
  • Phone: 641-456-5623
  • 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: ROSEMARY WOOD
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 641-456-5636