Provider Demographics
NPI:1174607949
Name:ABBORE HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:ABBORE HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:UWAZURIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-569-1040
Mailing Address - Street 1:23999 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2528
Mailing Address - Country:US
Mailing Address - Phone:248-569-1040
Mailing Address - Fax:248-569-1310
Practice Address - Street 1:23999 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2528
Practice Address - Country:US
Practice Address - Phone:248-569-1040
Practice Address - Fax:248-569-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI436259Medicaid