# ABUNDANT LIFE NURSING LLC

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

## Provider details

- **NPI number:** 1356813885
- **Authorized official:** PATRICIA ALLEN (OWNER/PRESIDENT)
- **Authorized official phone:** (352) 250-2748

## Contact information

- **Practice address:** 2799 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3536
- **Practice address phone:** (352) 250-2748
- **Mailing address:** 2280 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3508

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2018
- **Last updated:** 05/29/2024