Organization
ABUNDANT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA YVETTE MICKEY (PRESIDENT)
(901) 820-0701
Entity
Organization
Contact information
Practice address
5200 PARK AVE STE 102, MEMPHIS, TN 38119-3505
(901) 820-0701
(901) 820-0709
Mailing address
5200 PARK AVE STE 102, MEMPHIS, TN 38119-3505
(901) 820-0701
(901) 820-0709
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000008243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445529
—
TN
Enumeration date
03/10/2011
Last updated
12/18/2025
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