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Contact Information

ABUNDANCE HOME CARE SOURCE LLC
115 WHITE RD
FAYETTEVILLE, GA30214-1203
 Phone: 856-723-2227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ABUNDANCE HOME CARE SOURCE LLC

NPI Number 1285371419
LBN Legal business name ABUNDANCE HOME CARE SOURCE LLC
Authorized official FELICITA WRIGHT - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2022
Last updated 04/22/2024 - About 2 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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