Organization
ABUDANT LIVING HEALTHCARE, LLC
Active
Other names
Abundant Living Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J. HIETT RN, RNFA (RN, PROGRAM DIRECTOR)
(573) 579-4899
Entity
Organization
Contact information
Practice address
3151 PARK PLACE DR, CAPE GIRARDEAU, MO 63703-6378
(573) 579-4899
Mailing address
3151 PARK PLACE DR, CAPE GIRARDEAU, MO 63703-6378
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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