Abba Residential, LLC

NPI #1144614900 in Cedar Hill, Texas

Provider Information

NPI Number: 1144614900
Entity Type: Organization
Organization Name: Abba Residential, LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Mar 19, 2015
Last Updated: Mar 19, 2015

Practice Location

Address: 1144 WISHING WELL CT
City: Cedar Hill
State: Texas
ZIP Code: 75104-8254
Phone: (404) 484-0061

Authorized Official

Name: CHARLES MGBAM
Title: PROGRAM ADMINISTRATOR
Phone: (404) 484-0061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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