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NPI Code Detail

MEDICARE: ABUNDANCE AND BEYOND HOME HEALTH PCA, INC.

MEDICARE: ABUNDANCE AND BEYOND HOME HEALTH PCA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1306267059
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABUNDANCE AND BEYOND HOME HEALTH PCA, INC.
Provider Business Mailing Address
First Line : 1000 N MORRISON BLVD
Second Line : SUITE A
City : HAMMOND
State : LA
Zip : 70401-2233
Country : US
Telephone Number : 985-510-5053
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N MORRISON BLVD
Second Line : SUITE A
City : HAMMOND
State : LA
Zip : 70401-2233
Country : US
Telephone Number : 985-510-5053
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : MORITHA M. JOHNSON
Credential :
Telephone Number : 985-878-4177
Provider Enumeration Date : 12/26/2013
Last Update Date : 12/26/2013

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