Organization
ABUNDANCE HOME CARE SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICITA WRIGHT (OWNER/PRESIDENT)
(856) 723-2227
Entity
Organization
Contact information
Practice address
115 WHITE RD, FAYETTEVILLE, GA 30214-1203
(856) 723-2227
Mailing address
154 RAINBOW WAY # 187, FAYETTEVILLE, GA 30214-3994
(770) 424-7700
(470) 691-1284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/18/2022
Last updated
04/22/2024
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