# NEW ABUNDANT LIVING 3

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ABUNDANT LIVING GROUP HOME
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104090562
- **Legal business name:** ABUNDANT LIVING GROUP HOME
- **Authorized official:** JANICE TIMPSON (OWNER)
- **Authorized official phone:** (336) 623-7669

## Contact information

- **Practice address:** 1014 WEST AVE, EDEN, NC 27288-6430
- **Practice address phone:** (336) 623-7669
- **Mailing address:** 438 CREEKRIDGE DR, EDEN, NC 27288-2817
- **Mailing address phone:** (336) 623-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NC | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 04/16/2008