MEDICARE: D & K ABUNDANT LIFE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251X00000X	Supports Brokerage Agency
2	347C00000X	Private Vehicle
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
4	253Z00000X	In Home Supportive Care Agency
5	342000000X	Transportation Network Company
6	376K00000X	Nurse's Aide
7	332U00000X	Home Delivered Meals
8	253J00000X	Foster Care Agency
9	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
10	385HR2055X	Child Mental Illness Respite Care
11	343900000X	Non-emergency Medical Transport (VAN)
12	385H00000X	Respite Care

General Provider Information

NPI Number	:	1649024795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & K ABUNDANT LIFE LLC

Provider Business Mailing Address
First Line	:	PO BOX 9666
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44711-9666
Country	:	US
Telephone Number	:	330-309-3509
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 38TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-2062
Country	:	US
Telephone Number	:	330-284-7099
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMISTRATOR
Name	:	MS. KIMA LASHAWN WILLIAMS
Credential	:
Telephone Number	:	330-309-3509

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	04/03/2026

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Directions to “D & K ABUNDANT LIFE LLC ” Practice Location

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