Provider Demographics
NPI:1700647708
Name:ABUNDANT HOMECARE, LLC
Entity Type:Organization
Organization Name:ABUNDANT HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GIBRILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-735-9358
Mailing Address - Street 1:714 BROOKE AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:PA
Mailing Address - Zip Code:19070
Mailing Address - Country:US
Mailing Address - Phone:484-735-9358
Mailing Address - Fax:
Practice Address - Street 1:714 BROOKE AVE
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:PA
Practice Address - Zip Code:19070
Practice Address - Country:US
Practice Address - Phone:484-735-9358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health