Organization
C AND K ABUNDANT CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SECORIA WILSON (ADMINISTRATOR)
(757) 386-0106
Entity
Organization
Contact information
Practice address
601 THORNE AVE, PORTSMOUTH, VA 23701-3557
(757) 386-0106
Mailing address
601 THORNE AVE, PORTSMOUTH, VA 23701-3557
(757) 386-0106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/05/2022
Last updated
07/22/2024
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