| NPI | 1215621511 |
|---|---|
| Former Legal Business Name | CHARLIES ABUNDANT HOME HEALTH CARE AGENCY LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLESZETTA CHRISTINA GULLEDGE Executive Director 168-229-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-21 |