Provider Demographics
NPI:1487487005
Name:ABBA CARE LLC
Entity type:Organization
Organization Name:ABBA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-200-1935
Mailing Address - Street 1:5881 NW 151ST ST # 220
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2497
Mailing Address - Country:US
Mailing Address - Phone:786-631-3738
Mailing Address - Fax:305-675-2861
Practice Address - Street 1:5881 NW 151ST ST # 220
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2497
Practice Address - Country:US
Practice Address - Phone:786-631-3738
Practice Address - Fax:305-675-2861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty