Organization
ABUNDANT LIFE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASIDY GOLDSMITH (ADMINISTRATOR)
(318) 233-3770
Entity
Organization
Contact information
Practice address
2625 LINE AVE STE 106, SHREVEPORT, LA 71104-3043
(318) 233-3770
(318) 233-3770
Mailing address
2625 LINE AVE STE 106, SHREVEPORT, LA 71104-3043
(318) 233-3770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/02/2019
Last updated
01/10/2026
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