Organization
ABUNDANT LIFE NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ALLEN (OWNER/PRESIDENT)
(352) 250-2748
Entity
Organization
Contact information
Practice address
2799 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3536
(352) 250-2748
Mailing address
2280 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3508
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105940100
—
FL
Enumeration date
12/21/2018
Last updated
05/29/2024
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