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Organization
LIFE OF ABUNDANCE, LLC
Active
Organization
LIFE OF ABUNDANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA MCFARLEY (EXECUTIVE DIRECTOR)
(205) 310-5259
Entity
Organization
Contact information
Practice address
22640 HERITAGE DR, MC CALLA, AL 35111-2652
(205) 310-5259
Mailing address
3725 DEARING DOWNS DRIVE, TUSCALOOSA, AL 35405
(205) 310-5259
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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