Organization
ABUNDANT LIFE ADULT DAY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERLANIUS TATE (ADMINISTRATOR)
(504) 415-9390
Entity
Organization
Contact information
Practice address
5961 BULLARD AVE., SUITE 5 AND 6, NEW ORLEANS, LA 70128-2817
(504) 240-2900
(504) 241-6000
Mailing address
5961 BULLARD AVE., SUITE 5 AND 6, NEW ORLEANS, LA 70128-2817
(504) 240-2900
(504) 241-6000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
5053
LA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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