Provider Demographics
NPI:1376055673
Name:ABBA HOSPICE INC
Entity type:Organization
Organization Name:ABBA HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-468-2033
Mailing Address - Street 1:20955 PATHFINDER RD STE 332
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-4055
Mailing Address - Country:US
Mailing Address - Phone:909-468-2033
Mailing Address - Fax:909-468-2018
Practice Address - Street 1:20955 PATHFINDER RD STE 332
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-4055
Practice Address - Country:US
Practice Address - Phone:909-468-2033
Practice Address - Fax:909-468-2018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based