Organization
ABUNDANT LIFE HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSEDE DANIYAN (EXECUTIVE DIRECTOR)
(410) 917-9433
Entity
Organization
Contact information
Practice address
5712 HARFORD RD, BALTIMORE, MD 21214-2235
(410) 917-9433
Mailing address
5712 HARDFORD RD, BALTIMORE, MD 21214
(410) 917-9433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RS3406P
MD
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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