Organization
ABUNDANT LIFE RESTORATION HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORDELIA IFEYINWA OKONKWO P.T.A. (ADMINISTRATOR)
(443) 985-6081
Entity
Organization
Contact information
Practice address
3517 LANGREHR RD, BALTIMORE, MD 21244-3067
(410) 701-8814
Mailing address
3517 LANGREHR RD, BALTIMORE, MD 21244-3067
(410) 701-8814
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RS 3562
MD
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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