Abana Home Health Care LLC

Organization Active NPI Home Health Agency · Racine, WI

NPI 1306349642 · NPPES record last updated Mar 13, 2018

Key facts

NPI
1306349642
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ABANA HOME HEALTH CARE LLC
Practice address
407 High St
Racine, WI 53402-4912
Phone
(262) 676-9461
NPI assigned
Mar 13, 2018
Organization subpart
No

Authorized official

Name
Mrs. Denise Monett Harris
Title
Owner/Administrator
Phone
(262) 676-9461

National Provider Directory

Locations

407 High St
Racine, WI 53402
Phone (262) 676-9461

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

407 High St
Racine, WI 53402-4912

Mailing address

PO Box 81574
Racine, WI 53408-1574
Phone (262) 676-9461

Other identifiers

IdentifierTypeStateIssuer
100074930MedicaidWI

Other providers in Racine, WI

All providers in Racine, WI · Home Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.