Organization
ABRAHAM HOME CARE PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUDELKA BERROA (OWNER)
(401) 585-9298
Entity
Organization
Contact information
Practice address
807 BROAD ST RM 233, PROVIDENCE, RI 02907-1678
(401) 585-9298
Mailing address
807 BROAD ST RM 233, PROVIDENCE, RI 02907-1678
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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