# CHARLIES ABUNDANT HOME HEALTH CARE AGENCY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Charlies Abundant Home Health Care Agency LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215621511
- **Authorized official:** MRS. CHARLESZETTA CHRISTINA GULLEDGE CEO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (168) 229-4500

## Contact information

- **Practice address:** 1001 WOODWARD AVE, DETROIT, MI 48226-1904
- **Practice address phone:** (313) 261-5699
- **Mailing address:** 5116 E OUTER DR, DETROIT, MI 48234-3402
- **Mailing address phone:** (313) 261-5699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/21/2023