Provider Demographics
NPI:1346697067
Name:ABBY & ANTONIO INC.
Entity Type:Organization
Organization Name:ABBY & ANTONIO INC.
Other - Org Name:ACCLAIM CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-755-4424
Mailing Address - Street 1:2915 HUNGARY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2052
Mailing Address - Country:US
Mailing Address - Phone:804-755-4424
Mailing Address - Fax:804-755-4427
Practice Address - Street 1:2915 HUNGARY RD
Practice Address - Street 2:SUITE C
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2052
Practice Address - Country:US
Practice Address - Phone:804-755-4424
Practice Address - Fax:804-755-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2931320900000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care