Organization
ABS HUMBLE HOME LLC
Active
Other names
ABS HUMBLE HOME LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHEEM H HAMED (MANAGER/OWNER)
(786) 564-3771
Entity
Organization
Contact information
Practice address
14798 CAMBRIA ST, FONTANA, CA 92335-2520
(786) 564-3771
(909) 474-9486
Mailing address
7159 HAZELWOOD WAY, FONTANA, CA 92336-1659
(786) 564-3771
(909) 474-9486
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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