Provider Demographics
NPI:1013227362
Name:ABC COMMUNITY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ABC COMMUNITY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTELLA
Authorized Official - Middle Name:ANNI
Authorized Official - Last Name:ABAM
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:713-367-7371
Mailing Address - Street 1:8511 OLD BROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2442
Mailing Address - Country:US
Mailing Address - Phone:713-367-7371
Mailing Address - Fax:
Practice Address - Street 1:8511 OLD BROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2442
Practice Address - Country:US
Practice Address - Phone:713-367-7371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX604831251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management