Provider Demographics
NPI:1518293646
Name:ABRAHAM SEBASTIAN, INC.
Entity Type:Organization
Organization Name:ABRAHAM SEBASTIAN, INC.
Other - Org Name:LORENA'S SWEET HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OIKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-414-6078
Mailing Address - Street 1:662 ANTOINETTE ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-2621
Mailing Address - Country:US
Mailing Address - Phone:407-414-6078
Mailing Address - Fax:386-218-4938
Practice Address - Street 1:662 ANTOINETTE ST
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-2621
Practice Address - Country:US
Practice Address - Phone:407-414-6078
Practice Address - Fax:386-218-4938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11574310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility