NPI | 1770188013 |
---|---|
Former Legal Business Name | ABS HUMBLE HOME LLC |
Entity Type | Organization |
Authorized Contact | EBRAHEEM H HAMED Manager/Owner 786-564-3771 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2020-12-03 |
Last Update Date | 2020-12-03 |