Provider Demographics
NPI:1578201406
Name:ABUNDANCE CARE AND WELLNESS, LLC
Entity Type:Organization
Organization Name:ABUNDANCE CARE AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:224-572-0827
Mailing Address - Street 1:1011 PRINCETON CT
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-8656
Mailing Address - Country:US
Mailing Address - Phone:224-572-0827
Mailing Address - Fax:
Practice Address - Street 1:5101 WASHINGTON ST STE 1115
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-2988
Practice Address - Country:US
Practice Address - Phone:224-326-0298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care