NPI 1073182424

Abundant Grace Home Care LLC

Organisation Home Health Agency Shreveport, LA

Practice location

Address: 9051 Mansfield Rd STE B7, Shreveport, LA 71118-2666
Phone: (318) 773-4845
Fax: (318) 716-1024
Mailing address: 1651 E 70th St # 264, Shreveport, LA 71105-5115

Authorised official

Name: Kierra Degale Youngblood
Title: Owner/Ceo/Don
Phone: (318) 773-4845

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1073182424
Entity type: Organization
NPI issued: 21 Jun 2021
Record last updated: 21 Jun 2021

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.