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General NPI Number Information
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NPI Number | 1407783038
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Entity Type | Organization
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Legal Business Name | ABUNDANT GRACE SENIOR SERVICES
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 77 N HILLS AVE APT 1
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City | GLENSIDE
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State | PA
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Zip | 19038-1522
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Country | US
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Telephone | 267-780-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 77 N HILLS AVE APT 1
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City | GLENSIDE
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State | PA
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Zip | 19038-1522
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Country | US
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Telephone | 267-780-4546
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANNA HUFF
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Credential | HUFF
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Telephone | 267-780-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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