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1023549458
ABUNDANT LIVING CARE LLC
MEQUON, WI
NPI
1023549458
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Entity Type
Organization
Authorized Contact
KIONDRA N BOHANON
Administrator
262-834-6212
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
ABUNDANT LIVING CARE LLC
11431 N PORT WASHINGTON RD STE 290
MEQUON, WI 53092-3462
Phone number: 262-834-6212
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Mailing Address
ABUNDANT LIVING CARE LLC
11431 N PORT WASHINGTON RD STE 290
MEQUON, WI 53092
Phone number:
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