# ABUNDANT GRACE FAMILY CARE HOME, INC

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

## Provider details

- **NPI number:** 1578005807
- **Authorized official:** OBIAGELI N OKOLI (ADMINISTRATOR)
- **Authorized official phone:** (862) 224-2861

## Contact information

- **Practice address:** 1140 BENSON RD STE 201, GARNER, NC 27529-4659
- **Practice address phone:** (862) 224-2861
- **Mailing address:** 1140 BENSON RD STE 201, GARNER, NC 27529-4659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2016
- **Last updated:** 11/17/2016