Provider Demographics
NPI:1033509955
Name:ABUNDANT LOVE HOME CARE SERVICES
Entity Type:Organization
Organization Name:ABUNDANT LOVE HOME CARE SERVICES
Other - Org Name:ABUNDANT LOVE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:CURRENCE
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:704-549-5846
Mailing Address - Street 1:1981 J N PEASE PLEASE PLACE
Mailing Address - Street 2:STE. 204
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262
Mailing Address - Country:US
Mailing Address - Phone:704-549-5846
Mailing Address - Fax:
Practice Address - Street 1:1981 J N PEASE PEASE PLACE
Practice Address - Street 2:STE. 204
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262
Practice Address - Country:US
Practice Address - Phone:704-549-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4659253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care