Provider Demographics
NPI:1558042457
Name:ABBA IN-HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ABBA IN-HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:PALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-224-8637
Mailing Address - Street 1:PO BOX 10174
Mailing Address - Street 2:
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-0174
Mailing Address - Country:US
Mailing Address - Phone:510-224-8637
Mailing Address - Fax:877-904-7574
Practice Address - Street 1:3860 BROADWAY ST STE 102
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-4257
Practice Address - Country:US
Practice Address - Phone:510-224-8637
Practice Address - Fax:877-904-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health