| Abode Services | |
|
40849 Fremont Blvd Fremont CA 94538-4306 | |
| (510) 657-7409 | |
| (510) 657-7293 |
| Full Name | Abode Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40849 Fremont Blvd, Fremont, California |
| Authorized Official Name and Position | Glen Elmer Harelson (PROGRAM MANAGER OF ABODE SERVICES) |
| Authorized Official Contact | 5107067519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abode Services 40849 Fremont Boulevard Fremont CA 94538 Ph: (510) 657-7409 | Abode Services 40849 Fremont Blvd Fremont CA 94538-4306 Ph: (510) 657-7409 |
| NPI Number | 1972930915 |
|---|---|
| Provider Enumeration Date | 10/05/2013 |
| Last Update Date | 10/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 070824 (California) | Primary |
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