NPI 1598580730 · live from the CMS NPI Registry
Abundantly Blessed Lll
Home Health Aide in North Charleston, SC. National Provider Identifier 1598580730, active.
NPI record
| NPI | 1598580730 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 6650 Rivers Ave, North Charleston, SC 29406 |
| Practice phone | 843-268-8364 |
| Mailing address | 2910 Edgmont Ave, Brookhaven, PA 19015 |
| Enumerated | November 21, 2024 |
| Last updated | November 21, 2024 |
| Authorized official | Ladonna Shaw-Wragg, Owner |
| Other names | Abundantly Blessed Lll |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.