Provider Demographics
NPI:1831974831
Name:ABELLA & AZORES CARE SERVICES LLC
Entity type:Organization
Organization Name:ABELLA & AZORES CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IVYTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-300-2767
Mailing Address - Street 1:9017 RESEDA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3994
Mailing Address - Country:US
Mailing Address - Phone:818-300-2767
Mailing Address - Fax:
Practice Address - Street 1:9017 RESEDA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3994
Practice Address - Country:US
Practice Address - Phone:818-300-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care