Healthcare Provider Details

I. General information

NPI: 1386508182
Provider Name (Legal Business Name): ABUNDANCE OF HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W MAIN ST STE 110
WILLIAMSTON NC
27892-2490
US

IV. Provider business mailing address

138 W MAIN ST STE 110
WILLIAMSTON NC
27892-2490
US

V. Phone/Fax

Practice location:
  • Phone: 252-789-8989
  • Fax: 252-789-8989
Mailing address:
  • Phone: 252-789-8989
  • Fax: 252-789-8989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA CLAGON
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 252-789-8989