Organization
ABACAW ENTERPRISES INC
Active
Parent organization
ABACAW ENTERPRISES INC
Other names
Golden Pond Home HealthCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABACAW ENTERPRISES INC
Authorized official
MRS. BECKY WILSON RN (PRESIDENT/ADMIN)
(469) 767-3652
Entity
Organization
Contact information
Practice address
530 NEWCASTLE LN, MURPHY, TX 75094-4165
(469) 767-3652
(972) 423-7906
Mailing address
530 NEWCASTLE LN, MURPHY, TX 75094-4165
(469) 767-3652
(972) 423-7906
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-9250
CMS
TX
Enumeration date
03/29/2006
Last updated
01/22/2015
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