Provider Demographics
NPI:1730876533
Name:ABYSSINIAN CO.
Entity type:Organization
Organization Name:ABYSSINIAN CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:NEGASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-300-8395
Mailing Address - Street 1:4120 POINT HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3012
Mailing Address - Country:US
Mailing Address - Phone:703-300-8395
Mailing Address - Fax:
Practice Address - Street 1:4120 POINT HOLLOW LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3012
Practice Address - Country:US
Practice Address - Phone:703-300-8395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)