Provider Demographics
NPI:1225585896
Name:FABB SERVICES LLC
Entity type:Organization
Organization Name:FABB SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:IBIERE
Authorized Official - Last Name:BOOKER-SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-417-8260
Mailing Address - Street 1:2990 NW 203 TERRACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056
Mailing Address - Country:US
Mailing Address - Phone:786-417-8260
Mailing Address - Fax:
Practice Address - Street 1:2990 NW 203RD TER
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-1902
Practice Address - Country:US
Practice Address - Phone:786-417-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FABB SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-1154-GH385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child