Provider Demographics
NPI:1598427122
Name:ABUNDANCE HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ABUNDANCE HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-913-6469
Mailing Address - Street 1:3801 CANAL ST STE 207
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6065
Mailing Address - Country:US
Mailing Address - Phone:504-582-9187
Mailing Address - Fax:
Practice Address - Street 1:3801 CANAL ST STE 207
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6065
Practice Address - Country:US
Practice Address - Phone:504-582-9187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management