Provider Demographics
NPI:1063652089
Name:ABBEY HOME HEALTH AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:ABBEY HOME HEALTH AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:OLIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-461-0600
Mailing Address - Street 1:10230 ARTESIA BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6769
Mailing Address - Country:US
Mailing Address - Phone:562-461-0600
Mailing Address - Fax:562-461-0116
Practice Address - Street 1:10230 ARTESIA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6769
Practice Address - Country:US
Practice Address - Phone:562-461-0600
Practice Address - Fax:562-461-0116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3137732251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health