# ABBY MEDICAL SUPPLY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225360225
- **Authorized official:** MR. KELECHI N JOSEPHS (ADMINISTRATOR)
- **Authorized official phone:** (972) 266-5216

## Contact information

- **Practice address:** 4931 AUTUMN HL, GRAND PRAIRIE, TX 75052-2445
- **Practice address phone:** (972) 266-5216
- **Practice address fax:** (972) 266-5216
- **Mailing address:** 4931 AUTUMN HL, GRAND PRAIRIE, TX 75052-2445
- **Mailing address phone:** (972) 266-5216
- **Mailing address fax:** (972) 266-5216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010