Organization
ABUNDANCE OF GRACE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA VICTORIA SMITH (OWNER)
(318) 946-7986
Entity
Organization
Contact information
Practice address
717 CROCKETT ST, SHREVEPORT, LA 71101-3605
(318) 252-8839
(318) 252-8840
Mailing address
4001 BELMONT ST, SHREVEPORT, LA 71108-2301
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
315D00000X
Inpatient Hospice
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/25/2024
Last updated
08/30/2024
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