Organization
ABUNDANT LIFE ASSISTED SERAVICES INC
Active
Parent organization
N/A
Other names
N/A
Organization subpart
Yes
Provider details
NPI number
Legal business name
N/A
Authorized official
MS. REBECCA M AIDOO I CNA (ADMINISTRATOR)
(678) 319-0307
Entity
Organization
Contact information
Practice address
10800 ALPHARETTA HWY, SUITE 208- 713, ROSWELL, GA 30076-1490
(678) 319-0307
(678) 319-0307
Mailing address
10800 ALPHARETTA HWY, SUITE 208- 713, ROSWELL, GA 30076-4621
(678) 319-0307
(678) 319-0307
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
060-R-0501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744
—
GA
Enumeration date
02/08/2012
Last updated
02/08/2012
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