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ABBTA INC

Adult Care Home

Portage, Michigan

Provider NPI: 1073755336

Organization Information:
Organization Name:  ABBTA INC


Practice Location:
5508 MOUNT VERNON AVE  PORTAGE, MI 49024 US
Tel: 269-342-5886  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
MIAS390290297

Other Provider Identifiers:

IssuerNumberStateType
2097746MI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS MI - Page 1



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