Provider Demographics
NPI:1033526827
Name:ABBA HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ABBA HEALTH CARE, INC.
Other - Org Name:CARING SENIOR SERVICE OF ATLANTA NW METRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-884-8200
Mailing Address - Street 1:225 CREEKSTONE RDG STE 29
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3744
Mailing Address - Country:US
Mailing Address - Phone:678-685-8511
Mailing Address - Fax:
Practice Address - Street 1:225 CREEKSTONE RDG STE 29
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3744
Practice Address - Country:US
Practice Address - Phone:678-685-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028-R-1287253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care