# ABUNDANT LIFE ASSISTED SERVICES INC

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

## Provider details

- **NPI number:** 1780991240
- **Authorized official:** BARBRA MUNGIA (DIR.OPERATIONS)
- **Authorized official phone:** (678) 319-0307

## Contact information

- **Practice address:** 703 MACY DR, ROSWELL, GA 30076-6332
- **Practice address phone:** (678) 319-0307
- **Mailing address:** PO BOX 1752, ROSWELL, GA 30077-1752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 060-R-0501 | GA | Yes |

## Other

- **Enumeration date:** 09/04/2010
- **Last updated:** 05/06/2024