Provider Demographics
NPI:1043953888
Name:ABIC HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:ABIC HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:IFEOMA
Authorized Official - Last Name:UDOMA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:443-790-4021
Mailing Address - Street 1:4213 WYNFIELD DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6171
Mailing Address - Country:US
Mailing Address - Phone:443-790-4021
Mailing Address - Fax:866-413-1056
Practice Address - Street 1:11238 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1900
Practice Address - Country:US
Practice Address - Phone:443-790-4021
Practice Address - Fax:866-413-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care