MEDICARE: ABEL NURSING AGENCY

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	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1366563173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABEL NURSING AGENCY

Provider Business Mailing Address
First Line	:	1501 ROBERT J CONLAN BLVD NE
Second Line	:	SUITE #6
City	:	PALM BAY
State	:	FL
Zip	:	32905-3502
Country	:	US
Telephone Number	:	321-984-1412
Fax Number	:	321-984-2915

Provider Business Practice Location Address
First Line	:	1501 ROBERT J CONLAN BLVD NE
Second Line	:	SUITE #6
City	:	PALM BAY
State	:	FL
Zip	:	32905-3502
Country	:	US
Telephone Number	:	321-984-1412
Fax Number	:	321-984-2915

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. NORMA B RANSOME
Credential	:	R.N.
Telephone Number	:	321-984-1412

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/22/2020

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Directions to “ABEL NURSING AGENCY ” Practice Location

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