Provider Demographics
NPI:1891524047
Name:ABAKIAS
Entity type:Organization
Organization Name:ABAKIAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-255-8591
Mailing Address - Street 1:17300 FIELDCREST AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-9007
Mailing Address - Country:US
Mailing Address - Phone:260-255-8591
Mailing Address - Fax:
Practice Address - Street 1:17300 FIELDCREST AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-9007
Practice Address - Country:US
Practice Address - Phone:260-255-8591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)