NPI 1023549458

Abundant Living Care LLC

Organisation Home Health Agency Mequon, WI

Practice location

Address: 11431 N Port Washington Rd STE 290, Mequon, WI 53092-3462
Phone: (262) 834-6212
Mailing address: 11431 N Port Washington Rd STE 290, Mequon, WI 53092

Authorised official

Name: Kiondra N Bohanon
Title: Administrator
Phone: (262) 834-6212

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1023549458
Entity type: Organization
NPI issued: 27 Mar 2017
Record last updated: 27 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.