Organization
NEW ABUNDANT LIVING 3
Active
Parent organization
ABUNDANT LIVING GROUP HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABUNDANT LIVING GROUP HOME
Authorized official
JANICE TIMPSON (OWNER)
(336) 623-7669
Entity
Organization
Contact information
Practice address
1014 WEST AVE, EDEN, NC 27288-6430
(336) 623-7669
Mailing address
438 CREEKRIDGE DR, EDEN, NC 27288-2817
(336) 623-7669
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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