Provider Demographics
NPI:1750603122
Name:ABUNDANT NURSING CARE, LLC.
Entity type:Organization
Organization Name:ABUNDANT NURSING CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:KENIDD
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-427-4987
Mailing Address - Street 1:941 SW DUBOIS AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3245
Mailing Address - Country:US
Mailing Address - Phone:786-427-4987
Mailing Address - Fax:
Practice Address - Street 1:1940 SE PORT ST LUCIE BLVD
Practice Address - Street 2:SUITE # 271
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5510
Practice Address - Country:US
Practice Address - Phone:786-427-4987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health