Organization
ABUNDANT POSSIBILITIES AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONTREZ JEROME DICKERSON MPA (PRESIDENT)
(618) 225-2896
Entity
Organization
Contact information
Practice address
208 PINE DALE DR, SWANSEA, IL 62226-2336
(618) 225-2896
Mailing address
208 PINE DALE DR, SWANSEA, IL 62226-2336
(618) 225-2896
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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