Abundant Life Homecare LLC
In Home Supportive Care in Columbus, MS. Organization (NPI-2).
NPI number1023871795
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1023871795
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Life Homecare LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
123 Kings PathColumbus, MS 39702-5603
Phone 662-352-6876
Mailing address
123 Kings PathColumbus, MS 39702-5603
Phone 662-352-6876
Authorized official
Taqualla Rice
Owner
6623526876
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