NPI 1144614900
Abba Residential, LLC
Practice location
- Address
- 1144 Wishing Well CT, Cedar Hill, TX 75104-8254
- Phone
- (404) 484-0061
Authorised official
- Name
- Charles Mgbam
- Title
- Program Administrator
- Phone
- (404) 484-0061
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1144614900
- Entity type
- Organization
- NPI issued
- 19 Mar 2015
- Record last updated
- 19 Mar 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.