Provider Demographics
NPI:1649601659
Name:ABIDE HEALTH SOLUTION
Entity Type:Organization
Organization Name:ABIDE HEALTH SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPERATING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:GAYFLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-225-0715
Mailing Address - Street 1:1 FELTER PL
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2019
Mailing Address - Country:US
Mailing Address - Phone:609-225-0715
Mailing Address - Fax:
Practice Address - Street 1:1 FELTER PL
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046
Practice Address - Country:US
Practice Address - Phone:609-225-0715
Practice Address - Fax:609-450-7815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion