- Enrollment id
- O20221031001167
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851965131
- Multiple npi flag
- N
- Ccn
- 757362
- Associate id
- 7618344961
- Organization name
- AB HEALTH SERVICES
- Incorporation date
- 2021-02-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 225 E BROADWAY
- Address line 2
- STE 205D
- City
- GLENDALE
- State
- CA
- Zip code
- 912051008