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Organization
ABUNDANT LIFE HOMES OF LA. INC
Active
Organization
ABUNDANT LIFE HOMES OF LA. INC
Active
Other names
Abundance Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY NOE (ADMINISTRATOR)
(225) 275-5303
Entity
Organization
Contact information
Practice address
942 MCLEMORE DR, BATON ROUGE, LA 70816-1802
(225) 275-5303
(255) 274-1028
Mailing address
942 MCLEMORE DR, BATON ROUGE, LA 70816-1802
(225) 275-5303
(255) 274-1028
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
629
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718904
—
LA
Enumeration date
11/18/2008
Last updated
11/18/2008
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