Organization
ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC
Active
Organization
ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FRAN ALLEN (PRESIDENT)
(352) 459-1245
Entity
Organization
Contact information
Practice address
1617 E ALFRED ST, TAVARES, FL 32778-3535
(352) 459-1245
Mailing address
1617 E ALFRED ST, TAVARES, FL 32778-3535
(352) 459-1245
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN9281220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008118000
—
FL
Enumeration date
06/08/2015
Last updated
06/08/2015
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