Organization
ABUNDANT LIFE NURSING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL FOMANKA (PRESIDENT/TREASURER)
(443) 520-8138
Entity
Organization
Contact information
Practice address
8608 BRAMBLE LN, STE. T2, RANDALLSTOWN, MD 21133-5152
(443) 272-7731
(443) 272-7756
Mailing address
PO BOX 32572, PIKESVILLE, MD 21282-2572
(443) 272-7731
(443) 272-7756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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