Abundant Blessings Community Outreach Sarvices Inc.
Organization Active NPI Case Management Agency · Milwaukee, WI
NPI 1417201427 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1417201427
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- ABUNDANT BLESSINGS COMMUNITY OUTREACH SARVICES INC.
- Practice address
- 216 E Garfield Ave
Milwaukee, WI 53212-3302 - Phone
- (414) 562-2208
- Fax
- (414) 395-3794
- NPI assigned
- Oct 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stina Baker, LPN
- Title
- President
- Phone
- (414) 562-2208
Practitioners 1
-
Stina Adel Baker, LPN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes | ||
| Early Intervention Provider Agency | 252Y00000X | 28807-031 | WI |
Addresses
Primary practice location
216 E Garfield Ave
Milwaukee, WI 53212-3302
Mailing address
216 E Garfield Ave
Milwaukee, WI 53212-3302
Phone (414) 562-2208
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.