Provider Demographics
NPI:1518372952
Name:A&B HOMECARE AND STAFFING, INC.
Entity Type:Organization
Organization Name:A&B HOMECARE AND STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:S
Authorized Official - Last Name:AINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-874-3333
Mailing Address - Street 1:32700 PACIFIC HWY S
Mailing Address - Street 2:SUITE 14
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6446
Mailing Address - Country:US
Mailing Address - Phone:253-874-3333
Mailing Address - Fax:253-874-6663
Practice Address - Street 1:32700 PACIFIC HWY S
Practice Address - Street 2:SUITE 14
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6446
Practice Address - Country:US
Practice Address - Phone:253-874-3333
Practice Address - Fax:253-874-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.00000201251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health