NPI 1104362631 · live from the CMS NPI Registry
Abundant Nursing Care
Home Health in Jackson, MS. National Provider Identifier 1104362631, active.
NPI record
| NPI | 1104362631 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 6230 Tanglewood Dr, Jackson, MS 39213 |
| Practice phone | 601-421-2022 |
| Mailing address | 445 Lafayette Ave., Fayetteville, GA 30214 |
| Enumerated | January 8, 2017 |
| Last updated | January 8, 2017 |
| Authorized official | Lashelia Brown, Ceo, Administrative Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.