MEDICARE: ABRAM PERSONAL CARE AGENCY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1023266848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRAM PERSONAL CARE AGENCY INC

Provider Business Mailing Address
First Line	:	18017 CHATSWORTH ST STE 504
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-5608
Country	:	US
Telephone Number	:	818-459-3970
Fax Number	:	888-459-3970

Provider Business Practice Location Address
First Line	:	18017 CHATSWORTH ST STE 504
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-5608
Country	:	US
Telephone Number	:	818-459-3970
Fax Number	:	888-459-3970

Authorized Official
Title or Position	:	CEO- PRESIDENT
Name	:	SHEILA ABRAM
Credential	:
Telephone Number	:	818-459-3970

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	02/27/2019

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