NPI 1134471659

Abundant Living Healthcare

Organisation Homemaker Mound Bayou, MS

Practice location

Address: 202 Green St, Mound Bayou, MS 38762-9762
Phone: (662) 741-3354
Mailing address: 125 Old Mound Bayou Rd, Mound Bayou, MS 38762-9591

Authorised official

Name: Cassandra Camille Dancy
Title: Administrator
Phone: (662) 347-9976

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 00530517 (MS)

Other Homemaker providers in Mississippi →

Registry record

NPI: 1134471659
Entity type: Organization
NPI issued: 8 Oct 2012
Record last updated: 8 Oct 2012

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.