| NPI | 1588125926 |
|---|---|
| Former Legal Business Name | ABC HOME CARE AGENCY INC |
| Entity Type | Organization |
| Authorized Contact | AKEESHA LOCKITT - PENA President 631-273-0762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |