# AB SERENITY SPROUT HEALTH CARE

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

## Provider details

- **NPI number:** 1548075526
- **Authorized official:** MS. ABIGAIL TABI TAMBI (CEO)
- **Authorized official phone:** (980) 401-0515

## Contact information

- **Practice address:** 12402 HILLANTRAE DR, CLINTON, MD 20735-6510
- **Practice address phone:** (980) 401-0515
- **Mailing address:** 12402 HILLANTRAE DR, CLINTON, MD 20735-6510
- **Mailing address phone:** (980) 401-0515

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2025
- **Last updated:** 02/08/2025