Organization
ABUNDANT LIFE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF MUHAMMAD (DIRECTOR)
(980) 200-1933
Entity
Organization
Contact information
Practice address
1565 EBENEZER RD STE 112, ROCK HILL, SC 29732-3421
(980) 200-1933
Mailing address
4417 GATESMILLS AVE, CHARLOTTE, NC 28213-4341
(980) 200-1933
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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