MEDICARE: AABRAHAM BLESSINGS, LLC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1730247065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AABRAHAM BLESSINGS, LLC

Provider Business Mailing Address
First Line	:	12218 RENAISSANCE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3620
Country	:	US
Telephone Number	:	713-334-9973
Fax Number	:	713-334-0204

Provider Business Practice Location Address
First Line	:	12218 RENAISSANCE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3620
Country	:	US
Telephone Number	:	713-334-9973
Fax Number	:	713-334-0204

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. GODWIN IGHIDARO ORIAKHI
Credential	:
Telephone Number	:	713-334-9973

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	06/13/2008

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