Organization
ABBY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELECHI N JOSEPHS (ADMINISTRATOR)
(972) 266-5216
Entity
Organization
Contact information
Practice address
4931 AUTUMN HL, GRAND PRAIRIE, TX 75052-2445
(972) 266-5216
(972) 266-5216
Mailing address
4931 AUTUMN HL, GRAND PRAIRIE, TX 75052-2445
(972) 266-5216
(972) 266-5216
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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