Organization
ABUNDANT HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL BARRY III (OWNER)
(747) 477-2019
Entity
Organization
Contact information
Practice address
1332 W 17TH ST, YUMA, AZ 85364-5308
(747) 477-2019
Mailing address
2222 S 4TH AVE UNIT 5502, YUMA, AZ 85366-3558
(747) 477-2019
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266778
—
AZ
Enumeration date
07/06/2017
Last updated
07/06/2017
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