Provider Demographics
NPI:1003693151
Name:ABUNDANCE OF CARE LIVING SOLUTIONS LLC
Entity Type:Organization
Organization Name:ABUNDANCE OF CARE LIVING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-262-8377
Mailing Address - Street 1:216 JOHNS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-1583
Mailing Address - Country:US
Mailing Address - Phone:678-487-6400
Mailing Address - Fax:678-550-7316
Practice Address - Street 1:216 JOHNS CREEK LN
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-1583
Practice Address - Country:US
Practice Address - Phone:678-487-6400
Practice Address - Fax:678-550-7316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health