Provider Demographics
NPI:1225509169
Name:ABELARD, MARGARETTE
Entity Type:Individual
Prefix:
First Name:MARGARETTE
Middle Name:
Last Name:ABELARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 DAMASK ST NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-5711
Mailing Address - Country:US
Mailing Address - Phone:954-536-7801
Mailing Address - Fax:321-914-0104
Practice Address - Street 1:840 DAMASK ST NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-5711
Practice Address - Country:US
Practice Address - Phone:954-536-7801
Practice Address - Fax:321-914-0104
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home