Organization
ABUNDANT CARE CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE JONES (OWNER)
(803) 605-0052
Entity
Organization
Contact information
Practice address
153 FORESTVIEW CIR, COLUMBIA, SC 29212-2450
(803) 605-0052
Mailing address
PO BOX 210511, COLUMBIA, SC 29221-0511
(803) 605-0052
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5098
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5662
—
SC
Enumeration date
05/22/2014
Last updated
05/22/2014
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