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Contact Information

ABUNDANT GRACE HOME CARE LLC
9051 MANSFIELD RD STE B7
SHREVEPORT, LA71118-2666
 Phone: 318-773-4845
 Fax: 318-716-1024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ABUNDANT GRACE HOME CARE LLC

NPI # 1073182424
LBN Legal business name ABUNDANT GRACE HOME CARE LLC
Authorized official KIERRA YOUNGBLOOD - (OWNER/CEO/DON)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2021
Last updated 06/21/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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