NPI 1386882017

Abundant Home Care Solutions LLC

Organisation Preferred Provider Organization Columbia, SC

Practice location

Address: 2611 Forest Dr Suite 206, Columbia, SC 29204-2379
Phone: (803) 233-9057
Fax: (800) 886-0591

Authorised official

Name: Bevin Gerard Studstill
Title: Director of Operations
Phone: (803) 233-9057

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0732117 (SC)

Other Preferred Provider Organization providers in South Carolina →

Registry record

NPI: 1386882017
Entity type: Organization
NPI issued: 3 Feb 2009
Record last updated: 3 Feb 2009

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.