# C AND K ABUNDANT CARE, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154058592
- **Authorized official:** SECORIA WILSON (ADMINISTRATOR)
- **Authorized official phone:** (757) 386-0106

## Contact information

- **Practice address:** 601 THORNE AVE, PORTSMOUTH, VA 23701-3557
- **Practice address phone:** (757) 386-0106
- **Mailing address:** 601 THORNE AVE, PORTSMOUTH, VA 23701-3557
- **Mailing address phone:** (757) 386-0106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 08/05/2022
- **Last updated:** 07/22/2024