Provider Demographics
NPI:1609610575
Name:ABIC HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ABIC HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:UDOMA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:443-538-7515
Mailing Address - Street 1:11238 REISTERSTOWN RD LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1964
Mailing Address - Country:US
Mailing Address - Phone:443-790-4021
Mailing Address - Fax:866-413-1056
Practice Address - Street 1:11238 REISTERSTOWN RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1964
Practice Address - Country:US
Practice Address - Phone:443-790-4021
Practice Address - Fax:866-413-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care