Provider Demographics
NPI:1649983339
Name:ABAN CARE SERVICES LLC
Entity type:Organization
Organization Name:ABAN CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYINAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-289-4577
Mailing Address - Street 1:10 MANORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-8204
Mailing Address - Country:US
Mailing Address - Phone:571-289-4577
Mailing Address - Fax:
Practice Address - Street 1:10 MANORWOOD DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-8204
Practice Address - Country:US
Practice Address - Phone:571-289-4577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty