Provider Demographics
NPI:1851831812
Name:ABACO TRANSPORTATION,LLC
Entity Type:Organization
Organization Name:ABACO TRANSPORTATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:703-595-5709
Mailing Address - Street 1:8053 TOWERING OAK WAY
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-5212
Mailing Address - Country:US
Mailing Address - Phone:703-595-5709
Mailing Address - Fax:703-392-3721
Practice Address - Street 1:8053 TOWERING OAK WAY
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-5212
Practice Address - Country:US
Practice Address - Phone:703-595-5709
Practice Address - Fax:703-392-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10035085-2017343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)