# ABUNDANT LIFE NURSING SERVICES INC.

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

## Provider details

- **NPI number:** 1346589470
- **Authorized official:** BASIL FOMANKA (PRESIDENT/TREASURER)
- **Authorized official phone:** (443) 520-8138

## Contact information

- **Practice address:** 8608 BRAMBLE LN, STE. T2, RANDALLSTOWN, MD 21133-5152
- **Practice address phone:** (443) 272-7731
- **Practice address fax:** (443) 272-7756
- **Mailing address:** PO BOX 32572, PIKESVILLE, MD 21282-2572
- **Mailing address phone:** (443) 272-7731
- **Mailing address fax:** (443) 272-7756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2013
- **Last updated:** 02/08/2013