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NPI Code Detail

MEDICARE: ABUNDANT HEALTH CARE

MEDICARE: ABUNDANT HEALTH 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
1253Z00000XIn Home Supportive Care Agency
2343900000XNon-emergency Medical Transport (VAN)
3385H00000XRespite Care
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1992567416
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABUNDANT HEALTH CARE
Provider Business Mailing Address
First Line : 15072 ALYSSUM CT
Second Line :
City : FONTANA
State : CA
Zip : 92336-1602
Country : US
Telephone Number : 323-206-7182
Fax Number :
Provider Business Practice Location Address
First Line : 2450 COLORADO AVE STE 100E
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-5535
Country : US
Telephone Number : 844-226-7214
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. SAWNTREACE TENE MURPHY
Credential :
Telephone Number : 323-206-7182
Provider Enumeration Date : 01/29/2024
Last Update Date : 01/29/2024

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Directions to “ABUNDANT HEALTH CARE ” Practice Location

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