Healthcare Provider Details

I. General information

NPI: 1801166350
Provider Name (Legal Business Name): ABUNDANT BLESSINGS HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 12/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 CHURCH ST
MILTON MILLS NH
03852
US

IV. Provider business mailing address

PO BOX 36
MILTON MILLS NH
03852-0036
US

V. Phone/Fax

Practice location:
  • Phone: 603-473-2510
  • Fax: 603-473-2151
Mailing address:
  • Phone: 603-473-2510
  • Fax: 603-473-2151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03674
License Number StateNH

VIII. Authorized Official

Name: THOMAS P. HOWLAND
Title or Position: ADMINISTRATOR
Credential:
Phone: 603-473-2510