Organization
ABUNDANT LIVING SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURORE PRISCILLA Y ASSOUMAN PA (CEO)
(571) 668-6862
Entity
Organization
Contact information
Practice address
13145 SAPPHIRE RIDGE PL, BRISTOW, VA 20136-2309
(571) 668-6862
Mailing address
13145 SAPPHIRE RIDGE PL, BRISTOW, VA 20136-2309
(571) 668-6862
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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