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Organization
ABUNDANT LIVING HOME HEALTH SERVICES LLC
Active
Organization
ABUNDANT LIVING HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE BUCKNER MSN, APRN, FNP-BC (FAMILY NURSE PRACTIONER)
(314) 587-0263
Entity
Organization
Contact information
Practice address
9501 RIDGE AVE, SAINT LOUIS, MO 63114-3921
(314) 587-0263
Mailing address
9501 RIDGE AVE, SAINT LOUIS, MO 63114-3921
(314) 587-0263
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
05/16/2024
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