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NPI Code Detail

MEDICARE: ABUNDANT HOME CARE

MEDICARE: ABUNDANT HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency24898VA

General Provider Information

NPI Number : 1215294939
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABUNDANT HOME CARE
Provider Business Mailing Address
First Line : 4643 STONEBRIDGE LN
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7278
Country : US
Telephone Number : 757-277-5979
Fax Number :
Provider Business Practice Location Address
First Line : 4643 STONEBRIDGE LN
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7278
Country : US
Telephone Number : 757-277-5979
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTY D SMITH
Credential :
Telephone Number : 757-277-5979
Provider Enumeration Date : 04/19/2012
Last Update Date : 04/19/2012

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Directions to “ABUNDANT HOME CARE ” Practice Location

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