Organization
ABUNDANCE OF LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA M YOUNG (CEO)
(414) 737-0708
Entity
Organization
Contact information
Practice address
2602 W SILVER SPRING DR, SUITE 200, GLENDALE, WI 53209-4292
(414) 256-5000
(844) 274-3572
Mailing address
PO BOX 101009, MILWAUKEE, WI 53210-7009
(414) 256-5000
(844) 274-3572
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058167
—
WI
Enumeration date
09/20/2017
Last updated
08/01/2019
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