Organization
ABA CARES LLC
Active
Other names
AbaCares Services
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD MAKO (DIRECTOR)
(215) 745-4214
Entity
Organization
Contact information
Practice address
1619 GRANT AVE STE 17, PHILADELPHIA, PA 19115-3166
(215) 745-4214
Mailing address
PO BOX 6136, PHILADELPHIA, PA 19115-6136
(215) 745-4214
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44923601
HOME CARE AGENCY LICENSE ID
PA
Enumeration date
09/20/2019
Last updated
03/31/2024
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