Organization · NPI-2

Abundant Life Home Support, LLC

Home Health · Concord, NC

NPI number1669338307
StatusActive
Last updated in NPPESDec 26, 2025

Details

NPI
1669338307
Entity type
Organization (NPI-2)
Legal business name
Abundant Life Home Support, LLC
Organization subpart
No
Enumeration date
Dec 26, 2025
Certification date
Dec 26, 2025
Last updated
Dec 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

57 Union St S Ste 127
Concord, NC 28025-5266

Phone 919-902-3066

Mailing address

1309 Waldridge Ct
Greensboro, NC 27406-8780

Phone 919-902-3066

Authorized official

Marcianna Lawson
Owner
9199023066

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