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Organization
ABUNDANT LIFE HOME HEALTH SERVICES
Active
Organization
ABUNDANT LIFE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DAVID BELLEVUE MBA (CEO)
(267) 622-3195
Entity
Organization
Contact information
Practice address
458 E WALNUT LN, PHILADELPHIA, PA 19144-1054
(267) 622-3195
Mailing address
458 E WALNUT LN, PHILADELPHIA, PA 19144-1054
(267) 622-3195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4202634
PA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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