Organization
PHOENIX PRIMARY CARE LLC
Active
Parent organization
ABUNDANT LIFE MINISTRIES-HOPE HOUSE, INC.
Other names
Abundant Life Ministries-Hope House, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABUNDANT LIFE MINISTRIES-HOPE HOUSE, INC.
Authorized official
MS. SANDRA SHANK (CEO)
(386) 597-2861
Entity
Organization
Contact information
Practice address
26B OFFICE PARK DR, PALM COAST, FL 32137-3808
(386) 597-2861
(844) 272-3971
Mailing address
PO BOX 354925, PALM COAST, FL 32135-4925
(386) 597-2861
(844) 272-3971
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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