Organization
ABUNDANT GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERRA DEGALE YOUNGBLOOD RN (OWNER/CEO/DON)
(318) 773-4845
Entity
Organization
Contact information
Practice address
9051 MANSFIELD RD STE B7, SHREVEPORT, LA 71118-2666
(318) 773-4845
(318) 716-1024
Mailing address
1651 E 70TH ST # 264, SHREVEPORT, LA 71105-5115
(318) 773-4845
(318) 716-1024
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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