Organization
ABUNDANT LIFE CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY RICHARDSON (AUTHORIZED OFFICAL)
(803) 290-1783
Entity
Organization
Contact information
Practice address
260 SEMINOLE DR, ORANGEBURG, SC 29115-7622
(803) 662-9701
Mailing address
260 SEMINOLE DR, ORANGEBURG, SC 29115-7622
(803) 662-9701
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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