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1144614900
ABBA RESIDENTIAL, LLC
CEDAR HILL, TX
NPI
1144614900
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Entity Type
Organization
Authorized Contact
CHARLES MGBAM
Program Administrator
404-484-0061
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
ABBA RESIDENTIAL, LLC
1144 WISHING WELL CT
CEDAR HILL, TX 75104-8254
Phone number: 404-484-0061
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Mailing Address
ABBA RESIDENTIAL, LLC
1144 WISHING WELL CT
CEDAR HILL, TX 75104-8254
Phone number: 404-484-0061
Copy
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