Provider Demographics
NPI:1093158479
Name:ABACO HOUSE A.L.F,LLC
Entity Type:Organization
Organization Name:ABACO HOUSE A.L.F,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-642-4938
Mailing Address - Street 1:121 ABACO DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2001
Mailing Address - Country:US
Mailing Address - Phone:561-642-4938
Mailing Address - Fax:561-439-1452
Practice Address - Street 1:121 ABACO DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2001
Practice Address - Country:US
Practice Address - Phone:561-642-4938
Practice Address - Fax:561-439-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility