Organization
ABUNDANCE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMONE PENNINGTON (CEO)
(480) 479-1716
Entity
Organization
Contact information
Practice address
818 E ARDMORE RD, PHOENIX, AZ 85042-7809
(480) 479-1716
Mailing address
818 E ARDMORE RD, PHOENIX, AZ 85042-7809
(480) 479-1716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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