Provider Demographics
NPI:1669092391
Name:ABIDE INFUSIONS AND HOME CARE
Entity type:Organization
Organization Name:ABIDE INFUSIONS AND HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IKECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-531-1094
Mailing Address - Street 1:741 PIEDMONT AVE NE STE 130
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1420
Mailing Address - Country:US
Mailing Address - Phone:614-219-9825
Mailing Address - Fax:
Practice Address - Street 1:741 PIEDMONT AVE NE STE 130
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1420
Practice Address - Country:US
Practice Address - Phone:614-219-9825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health