# ABUNDANT LIFE SKILLS EHHANCEMENT CENTER LLC

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

## Provider details

- **NPI number:** 1487800678
- **Authorized official:** MS. SHIRLEY ANN HUNTSPON CERTIFICATIONS (DIRECTOR)
- **Authorized official phone:** (314) 972-8291

## Contact information

- **Practice address:** 1560 YEARLING DR, FLORISSANT, MO 63033-3148
- **Practice address phone:** (314) 972-8291
- **Mailing address:** 1560 YEARLING DR, FLORISSANT, MO 63033-3148
- **Mailing address phone:** (314) 972-8291
- **Mailing address fax:** (314) 921-2656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | MO | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 08/13/2008