Abundant Living Care LLC

NPI #1023549458 in Mequon, Wisconsin

Provider Information

NPI Number: 1023549458
Entity Type: Organization
Organization Name: Abundant Living Care LLC
Primary Specialty: Home Health
Enumeration Date: Mar 27, 2017
Last Updated: Mar 27, 2017

Practice Location

Address: 11431 N PORT WASHINGTON RD
Address 2: STE 290
City: Mequon
State: Wisconsin
ZIP Code: 53092-3462
Phone: (262) 834-6212

Authorized Official

Name: MS. KIONDRA N BOHANON
Title: ADMINISTRATOR
Phone: (262) 834-6212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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