Provider Demographics
NPI:1508265182
Name:ABBA'S STREET LIVING FACILITIES INC.
Entity Type:Organization
Organization Name:ABBA'S STREET LIVING FACILITIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-330-0296
Mailing Address - Street 1:407 GLENSTONE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77013-5001
Mailing Address - Country:US
Mailing Address - Phone:713-330-0296
Mailing Address - Fax:713-330-4114
Practice Address - Street 1:407 GLENSTONE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77013-5001
Practice Address - Country:US
Practice Address - Phone:713-330-0296
Practice Address - Fax:713-330-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)