Organization
ABUNDANT GRACE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSHAWNDA SQUIRES (DIRECTOR)
(901) 600-6003
Entity
Organization
Contact information
Practice address
6200 RAMSEY ST STE 250C, FAYETTEVILLE, NC 28311-9314
(910) 900-6003
Mailing address
3771 RAMSEY ST STE 109, FAYETTEVILLE, NC 28311-7616
(910) 900-6003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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