Provider Demographics
NPI:1578788600
Name:ABS SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:ABS SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-786-1281
Mailing Address - Street 1:215 N SAINT THOMAS CIR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2256
Mailing Address - Country:US
Mailing Address - Phone:813-786-1281
Mailing Address - Fax:813-645-8140
Practice Address - Street 1:215 N SAINT THOMAS CIR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2256
Practice Address - Country:US
Practice Address - Phone:813-786-1281
Practice Address - Fax:813-645-8140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services