Organization
ABUNDANCE OF LIFE, ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA REID (DIRECTOR)
(305) 363-9635
Entity
Organization
Contact information
Practice address
6900 BOWMAN ROBERTS RD, FORT WORTH, TX 76179-3386
(305) 363-9635
Mailing address
145 BIG SANDY LN, LANCASTER, TX 75146-2919
(305) 363-9635
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
TX
Enumeration date
01/18/2023
Last updated
01/18/2023
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