Provider Demographics
NPI:1356924906
Name:ABAH-KROSS HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:ABAH-KROSS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLABIMITAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-641-3579
Mailing Address - Street 1:6000 PRINCESS GARDEN PKWY
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2907
Mailing Address - Country:US
Mailing Address - Phone:301-641-3579
Mailing Address - Fax:301-679-7090
Practice Address - Street 1:6000 PRINCESS GARDEN PKWY
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2907
Practice Address - Country:US
Practice Address - Phone:301-641-3579
Practice Address - Fax:301-679-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health