Organization
EIHAB HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FATMA ABBOUD (CEO)
(718) 276-6101
Entity
Organization
Contact information
Practice address
1200 STATE ROUTE 92 SOUTH, TUNKHANNOCK, PA 18657
(570) 388-6155
Mailing address
16818 S CONDUIT AVE, JAMAICA, NY 11434-4806
(718) 276-6101
(718) 276-6063
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017962680005
PROMISE
—
Enumeration date
02/14/2011
Last updated
02/14/2011
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