# ABUNDANT LIFE HOME HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134563257
- **Authorized official:** BOSEDE DANIYAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 917-9433

## Contact information

- **Practice address:** 5712 HARFORD RD, BALTIMORE, MD 21214-2235
- **Practice address phone:** (410) 917-9433
- **Mailing address:** 5712 HARDFORD RD, BALTIMORE, MD 21214
- **Mailing address phone:** (410) 917-9433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | RS3406P | MD | Yes |

## Other

- **Enumeration date:** 04/19/2013
- **Last updated:** 04/19/2013