Organization
ABUNDANT LIFE HOME LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH DAILEY (DIRECTOR)
(252) 536-2409
Entity
Organization
Contact information
Practice address
1505 WASHINGTON AVE, WELDON, NC 27890-2025
(252) 536-2409
(252) 536-5532
Mailing address
1505 WASHINGTON AVE, WELDON, NC 27890-2025
(252) 536-2409
(252) 536-5532
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601554
—
NC
Enumeration date
12/13/2006
Last updated
08/22/2020
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