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NPI Code Detail

MEDICARE: ABBA HEALTH CARE INSTITUTE

MEDICARE: ABBA HEALTH CARE INSTITUTE
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
1311Z00000XCustodial Care Facility783687TX

General Provider Information

NPI Number : 1669726162
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABBA HEALTH CARE INSTITUTE
Provider Business Mailing Address
First Line : 12008 CASTLE PINES LN
Second Line :
City : WALDORF
State : MD
Zip : 20602-3183
Country : US
Telephone Number : 202-805-3997
Fax Number : 240-607-6760
Provider Business Practice Location Address
First Line : 12008 CASTLE PINES LN
Second Line :
City : WALDORF
State : MD
Zip : 20602-3183
Country : US
Telephone Number : 202-805-3997
Fax Number : 240-607-6760
Authorized Official
Title or Position : ADMINISTRATOR
Name : HASSANA JONES
Credential :
Telephone Number : 202-805-3997
Provider Enumeration Date : 11/05/2012
Last Update Date : 11/05/2012

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Directions to “ABBA HEALTH CARE INSTITUTE ” Practice Location

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