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General NPI Number Information
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NPI Number | 1659149821
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Entity Type | Organization
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Legal Business Name | ABUNDANTLY FULL OF LOVE
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 15400 LAUDER ST
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City | DETROIT
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State | MI
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Zip | 48227-2629
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Country | US
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Telephone | 313-682-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 15400 LAUDER ST
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City | DETROIT
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State | MI
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Zip | 48227-2629
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Country | US
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Telephone | 313-682-1556
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RASHADA CLAUSELL
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Credential |
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Telephone | 313-682-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251E00000X
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Taxonomy Name | Home Health 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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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