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Organization
ABUNDANT LIFE RESTORATION HEALTH CARE LLC
Active
Organization
ABUNDANT LIFE RESTORATION HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORDELIA IFEYINWA OKONKWO P.T.A. (ADMINISTRATOR)
(443) 985-6081
Entity
Organization
Contact information
Practice address
3517 LANGREHR RD, BALTIMORE, MD 21244-3067
(410) 701-8814
Mailing address
3517 LANGREHR RD, BALTIMORE, MD 21244-3067
(410) 701-8814
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RS 3562
MD
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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