Organization
ABITACARE, LLC
Active
Organization
ABITACARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD GILCHRIST (COO)
(601) 482-4003
Entity
Organization
Contact information
Practice address
1501 23RD AVE, SUITE B, MERIDIAN, MS 39301-4027
(877) 229-1724
(877) 229-1725
Mailing address
1501 23RD AVE, SUITE B, MERIDIAN, MS 39301-4027
(877) 229-1724
(877) 229-1725
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
08206/01.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
0820611
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473225
—
MS
05
—
114674
—
AL
01
—
7589870001
DMEPOS
MS
Enumeration date
08/06/2009
Last updated
05/17/2023
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