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General NPI Number Information
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NPI Number | 1669854584
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Entity Type | Organization
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Legal Business Name | ABUNDANT CARE NURSING SERVICES, LLC.
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Dates
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Enumeration Date | 06/27/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2102 SHOREFIELD RD
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City | SILVER SPRING
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State | MD
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Zip | 20902-1822
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Country | US
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Telephone | 888-847-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 SHOREFIELD RD
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City | SILVER SPRING
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State | MD
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Zip | 20902-1822
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Country | US
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Telephone | 888-647-9926
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NAUDREY JENKINS
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Credential | RN
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Telephone | 888-647-9926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | MD
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