Organization
ABBA UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN EDWARDS (MEMBER)
(512) 294-5779
Entity
Organization
Contact information
Practice address
1720 LOMITA DR, LEANDER, TX 78641-8195
(512) 294-5779
Mailing address
1720 LOMITA DR, LEANDER, TX 78641-8195
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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