# ABUNDANT GRACE HOME HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1659935823
- **Authorized official:** ARLENE G ABAGON (RN)
- **Authorized official phone:** (909) 868-8620

## Contact information

- **Practice address:** 510 E FOOTHILL BLVD STE 102, SAN DIMAS, CA 91773-1254
- **Practice address phone:** (844) 472-2301
- **Practice address fax:** (888) 254-3703
- **Mailing address:** 510 E FOOTHILL BLVD STE 102, SAN DIMAS, CA 91773-1254
- **Mailing address phone:** (844) 472-2301
- **Mailing address fax:** (888) 254-3703

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2019
- **Last updated:** 06/19/2023