Organization
ABUNDANT LIVING FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYNMARIE SABRINAH DORCE MT(ASCP) (FOUNDER AND EXECUTIVE DIRECTOR)
(404) 282-8292
Entity
Organization
Contact information
Practice address
1558 MARIETTA HWY STE 200, CANTON, GA 30114-3615
(914) 275-1477
Mailing address
840 COMMERCE TRL, CANTON, GA 30114-7572
(914) 275-1477
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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