Organization
ABUNDANTLY BLESSED LLL
Active
Organization
ABUNDANTLY BLESSED LLL
Active
Other names
Abundantly Blessed lll
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA D SHAW-WRAGG (OWNER)
(215) 906-0911
Entity
Organization
Contact information
Practice address
6650 RIVERS AVE, NORTH CHARLESTON, SC 29406-4809
(843) 268-8364
(843) 268-8372
Mailing address
2910 EDGMONT AVE, BROOKHAVEN, PA 19015-3236
(215) 375-3939
(215) 475-6097
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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