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Organization

ABUNDANT NURSING CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LASHELIA SHANTA BROWN (CEO, ADMINISTRATIVE DIRECTOR)
(407) 304-6419
Entity
Organization

Contact information

Practice address
6230 TANGLEWOOD DR, JACKSON, MS 39213-7937
(601) 421-2022
Mailing address
445 LAFAYETTE AVE., FAYETTEVILLE, GA 30214
(601) 421-2022

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
01/08/2017
Last updated
01/08/2017
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