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Organization

ABUNDANT LIFE HOME HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY BELLEVUE B.S (CHIEF EXECUTIVE OFFICER)
(267) 257-4431
Entity
Organization

Contact information

Practice address
458 E WALNUT LN, PHILADELPHIA, PA 19144-1054
(267) 257-4431
Mailing address
458 E WALNUT LN, PHILADELPHIA, PA 19144-1054
(267) 257-4431

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PA

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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