Healthcare Provider Details

I. General information

NPI: 1659818524
Provider Name (Legal Business Name): ABUNDANT BLESSINGS HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 COSMAR DR
SANBORNVILLE NH
03872-4307
US

IV. Provider business mailing address

22 COSMAR DR
SANBORNVILLE NH
03872-4307
US

V. Phone/Fax

Practice location:
  • Phone: 603-473-2510
  • Fax: 603-522-9211
Mailing address:
  • Phone: 603-473-2510
  • Fax: 603-522-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number03674
License Number StateNH

VIII. Authorized Official

Name: THOMAS HOWLAND
Title or Position: PRESIDENT
Credential:
Phone: 603-473-2510