# AN ABUNDANT LIFE HOME HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1700046711
- **Authorized official:** LAURA TIRSE (PRESIDENT)
- **Authorized official phone:** (305) 722-2234

## Contact information

- **Practice address:** 680 W 84TH ST, SUITE A, HIALEAH, FL 33014-3617
- **Practice address phone:** (305) 722-2234
- **Practice address fax:** (305) 819-4416
- **Mailing address:** 680 W 84TH ST, SUITE A, HIALEAH, FL 33014-3617
- **Mailing address phone:** (305) 722-2234
- **Mailing address fax:** (305) 819-4416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | — |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 11/12/2008