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NPI Code Detail

MEDICARE: ABUNDANCE OF LIFE CASE MANAGEMENT, LLC

MEDICARE: ABUNDANCE OF LIFE CASE MANAGEMENT, LLC
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1407706690
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABUNDANCE OF LIFE CASE MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 9121 INTERLINE AVE STE 9B
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1973
Country : US
Telephone Number : 225-330-2059
Fax Number : 225-612-6725
Provider Business Practice Location Address
First Line : 9121 INTERLINE AVE STE 9B
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1973
Country : US
Telephone Number : 225-330-2059
Fax Number : 225-612-6725
Authorized Official
Title or Position : OWNER
Name : MRS. KEOSHIA MONIQUE JACKSON-GREEN
Credential :
Telephone Number : 225-377-9121
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ABUNDANCE OF LIFE CASE MANAGEMENT, LLC ” Practice Location

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