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Organization
ABUNDANT LIFE HOME HEALTH AGENCY,LLC
Active
Organization
ABUNDANT LIFE HOME HEALTH AGENCY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI S BRISSETT RN (DIRECTOR OF NURSING)
(727) 286-8916
Entity
Organization
Contact information
Practice address
6601 MEMORIAL HWY STE 106, TAMPA, FL 33615-4501
(727) 286-8916
(727) 724-1201
Mailing address
28050 US HIGHWAY 19 N STE 205, CLEARWATER, FL 33761-2627
(727) 286-8916
(727) 724-1201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993080
FL
Other
Enumeration date
03/04/2009
Last updated
05/10/2023
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