Provider Demographics
NPI:1699519835
Name:ABBA HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:ABBA HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANTHONIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OFFIAH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-938-8532
Mailing Address - Street 1:9420 ANNAPOLIS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3033
Mailing Address - Country:US
Mailing Address - Phone:240-938-8532
Mailing Address - Fax:
Practice Address - Street 1:9420 ANNAPOLIS RD STE 103104
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3021
Practice Address - Country:US
Practice Address - Phone:240-938-8532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-22
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty