Provider Demographics
NPI:1467867507
Name:ABBA HOUSE INC.
Entity Type:Organization
Organization Name:ABBA HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:THANKGOD
Authorized Official - Middle Name:
Authorized Official - Last Name:MADUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-531-1907
Mailing Address - Street 1:72 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1233
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:72 MAPLE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1233
Practice Address - Country:US
Practice Address - Phone:413-531-1907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency