Abundant Living Healthcare

NPI 1134471659 - Homemaker - 376J00000X

NPI Details
NPI 1134471659
Enumeration Date 10/08/2012
Last Updated 10/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CASSANDRA CAMILLE CASSANDRA
Position ADMINISTRATOR
Phone (662) 741-3354
Fax
Practice Location
202 GREEN ST
MOUND BAYOU MS, 38762-9762, US
Phone (662) 741-3354
Fax
Business Location
125 OLD MOUND BAYOU RD
MOUND BAYOU MS, 38762-9591, US
Phone (662) 741-3354
Fax
Toxanomy
Taxonomy Code 376J00000X
License State Mississippi
License Number 00530517
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According to our database, Abundant Living Healthcare NPI is 1134471659, taxonomy code is 376J00000X and license number is 00530517, license state is located at Mississippi. Abundant Living Healthcare physically located at 202 Green St, Mound Bayou MS, 38762-9762. NPI Number 1033115704 has the healthcare provider type.

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1134471659 NPI number is provided on an as is basis without warranty of any kind. 1134471659 is maintained by the National Plan & Provider Enumeration System. The contents of Abundant Living Healthcare are for informational purposes only.