Healthcare Provider Details

I. General information

NPI: 1326595604
Provider Name (Legal Business Name): ABBELLA GROUP HEALTHTECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2016
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 RED BROOK BLVD STE 240
OWINGS MILLS MD
21117-5657
US

IV. Provider business mailing address

800 RED BROOK BLVD STE 240
OWINGS MILLS MD
21117-5657
US

V. Phone/Fax

Practice location:
  • Phone: 410-983-9942
  • Fax:
Mailing address:
  • Phone: 410-983-9942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHCSA9912070
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS WAMBUI
Title or Position: OWNER
Credential:
Phone: 410-983-9942