Organization
KABAMEDICALCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LASANA B KABA SR. (PRESIDENT)
(978) 278-5472
Entity
Organization
Contact information
Practice address
484LOWELL STREET, PEABODY, MA 01960
(978) 278-5472
(978) 817-2991
Mailing address
484 LOWELL ST STE 1B-1, PEABODY, MA 01960-7928
(978) 278-5472
(978) 817-2991
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
00121624
MA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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