Organization
D & K ABUNDANT LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMA LASHAWN WILLIAMS (OWNER/ADMISTRATOR)
(330) 309-3509
Entity
Organization
Contact information
Practice address
2619 38TH ST NW, CANTON, OH 44709-2062
(330) 284-7099
Mailing address
PO BOX 9666, CANTON, OH 44711-9666
(330) 309-3509
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/15/2024
Last updated
04/03/2026
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