Provider Demographics
NPI:1104370105
Name:AABON 2, INC
Entity Type:Organization
Organization Name:AABON 2, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARRY
Authorized Official - Suffix:
Authorized Official - Credentials:ATP/SMS
Authorized Official - Phone:334-733-8500
Mailing Address - Street 1:136 E REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-1530
Mailing Address - Country:US
Mailing Address - Phone:334-774-5553
Mailing Address - Fax:334-445-1736
Practice Address - Street 1:136 E REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-1530
Practice Address - Country:US
Practice Address - Phone:334-774-5553
Practice Address - Fax:334-445-1736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL82162332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies