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Organization
ABUNDANT HOME WELLNESS
Active
Organization
ABUNDANT HOME WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MARIE BIRDSONG (CEO)
(140) 543-8930
Entity
Organization
Contact information
Practice address
5601 NW 72ND ST STE 378, WARR ACRES, OK 73132-5931
(405) 594-8160
(405) 338-7044
Mailing address
5601 NW 72ND ST STE 378, WARR ACRES, OK 73132-5931
(405) 594-8160
(405) 338-7044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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