Provider Demographics
NPI:1417566373
Name:ABUNDANCE HOME CARE LLC
Entity Type:Organization
Organization Name:ABUNDANCE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-240-7183
Mailing Address - Street 1:263 COMMERCE DR UNIT 210
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-6127
Mailing Address - Country:US
Mailing Address - Phone:843-240-7183
Mailing Address - Fax:843-235-6708
Practice Address - Street 1:263 COMMERCE DR UNIT 210
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-6127
Practice Address - Country:US
Practice Address - Phone:843-240-7183
Practice Address - Fax:843-235-6708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care