Provider Demographics
NPI:1083278493
Name:HEALTHCARE ABUNDANCE CARE LLC
Entity Type:Organization
Organization Name:HEALTHCARE ABUNDANCE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:TRANISE
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA,HCA
Authorized Official - Phone:404-353-0664
Mailing Address - Street 1:6203 ABERCORN ST STE 106D
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5596
Mailing Address - Country:US
Mailing Address - Phone:404-353-0664
Mailing Address - Fax:
Practice Address - Street 1:6203 ABERCORN ST STE 106D
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5596
Practice Address - Country:US
Practice Address - Phone:404-353-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health