Organization
ABODE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS CHICOINE (EXECUTIVE DIRECTOR)
(510) 657-7409
Entity
Organization
Contact information
Practice address
1156 N 4TH ST, SAN JOSE, CA 95112-4900
(510) 657-7409
(510) 270-3259
Mailing address
40849 FREMONT BLVD, FREMONT, CA 94538-4306
(510) 657-7409
(510) 270-3259
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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