Provider Demographics
NPI:1215578166
Name:ABBA PERSONAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:ABBA PERSONAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FILIPINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-308-5474
Mailing Address - Street 1:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-0478
Mailing Address - Country:US
Mailing Address - Phone:337-684-0411
Mailing Address - Fax:
Practice Address - Street 1:27136 HIGHWAY 23 STE 418
Practice Address - Street 2:
Practice Address - City:PORT SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70083-2648
Practice Address - Country:US
Practice Address - Phone:504-394-8806
Practice Address - Fax:337-684-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care