Organization
ABUNDANT LOVE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHIA JACKSON (CEO)
(616) 221-0406
Entity
Organization
Contact information
Practice address
99 MONROE AVE NW STE 200, GRAND RAPIDS, MI 49503-2639
(616) 221-0406
Mailing address
99 MONROE AVE NW STE 200, GRAND RAPIDS, MI 49503-2639
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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