Organization
ABUNDANT CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEZBORN OBAT (CEO)
(254) 644-7284
Entity
Organization
Contact information
Practice address
1100 MAXFIELD ST, WACO, TX 76705-2967
(254) 644-7284
Mailing address
297 LCR 114, AXTELL, TX 76624-1333
(254) 644-7284
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/02/2020
Last updated
07/03/2024
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