Organization
ABUNDANT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE WHITE-MOODY (CEO)
(601) 508-6339
Entity
Organization
Contact information
Practice address
111 N KERN DR, GULFPORT, MS 39503-3265
(601) 508-6339
Mailing address
111 N KERN DR, GULFPORT, MS 39503-3265
(601) 508-6339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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