| Abaca Health, Llc | |
|
35 Fulford Ave Ste 202 Bel Air MD 21014-3941 | |
| (443) 528-0610 | |
| (410) 776-3551 |
| Full Name | Abaca Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 35 Fulford Ave Ste 202, Bel Air, Maryland |
| Authorized Official Name and Position | Delvonia Percell (OWNER) |
| Authorized Official Contact | 4435280610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abaca Health, Llc 1317 Bennett Pl Bel Air MD 21015-8416 Ph: (410) 977-4726 | Abaca Health, Llc 35 Fulford Ave Ste 202 Bel Air MD 21014-3941 Ph: (443) 528-0610 |
| NPI Number | 1265149280 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 02/23/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265149280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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