Organization
ABUNDANT LIFE CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE M CHIA ARNP (OWNER)
(216) 925-9786
Entity
Organization
Contact information
Practice address
516 N ROLLING RD STE 203, CATONSVILLE, MD 21228-4187
(216) 925-9786
Mailing address
4317 JORDAN WAY, PERRY HALL, MD 21128-9859
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/24/2023
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