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Abundant Grace Home Care LLC

Homemaker in Jacksonville, FL. Organization (NPI-2).

NPI number1457262156
StatusActive
Last updated in NPPESSep 14, 2026

Details

NPI
1457262156
Entity type
Organization (NPI-2)
Legal business name
Abundant Grace Home Care LLC
Organization subpart
No
Enumeration date
Sep 14, 2026
Certification date
Sep 14, 2026
Last updated
Sep 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

380 Martin Lakes Dr W
Jacksonville, FL 32220-3747

Phone 904-982-8262

Mailing address

380 Martin Lakes Dr W
Jacksonville, FL 32220-3747

Authorized official

Kimwana Benson
Owner
9049828262

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