Organization
1ST ABUNDANT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MICHELE WILLIAMS (PRESIDENT/CEO)
(337) 602-6241
Entity
Organization
Contact information
Practice address
4865 IHLES RD # 14, LAKE CHARLES, LA 70605-5900
(337) 602-6241
(337) 602-6655
Mailing address
4865 IHLES RD # 14, LAKE CHARLES, LA 70605-5900
(337) 602-6241
(337) 602-6655
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PCA15033
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1069868
—
LA
Enumeration date
06/16/2008
Last updated
03/06/2023
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