Provider Demographics
NPI:1649560871
Name:ABBY HEALTHCARE STAFFING, LLC
Entity Type:Organization
Organization Name:ABBY HEALTHCARE STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBICEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-433-9188
Mailing Address - Street 1:3406 KILLIPS LN
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-1310
Mailing Address - Country:US
Mailing Address - Phone:414-433-9188
Mailing Address - Fax:262-995-9355
Practice Address - Street 1:3406 KILLIPS LN
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-1310
Practice Address - Country:US
Practice Address - Phone:414-433-9188
Practice Address - Fax:262-995-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health