# ABUNDANT HOME HEALTH SERVICES, INC

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

## Provider details

- **NPI number:** 1700196995
- **Authorized official:** MICHAEL UDONKANG (ADMINISTRATOR)
- **Authorized official phone:** (815) 932-1600

## Contact information

- **Practice address:** 19 HERITAGE DR STE 102, BOURBONNAIS, IL 60914-1369
- **Practice address phone:** (815) 932-1600
- **Practice address fax:** (815) 932-1602
- **Mailing address:** 19 HERITAGE PLAZA SUITE102, BOURBONNAIS, IL 60914-1369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 09/01/2016
