Organization
ABUNDANT LIFE CENTER INTENSIVE IN-HOME SERVICES
Active
Organization
ABUNDANT LIFE CENTER INTENSIVE IN-HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY MARK WILLIAMS (MEMBER)
(804) 651-7972
Entity
Organization
Contact information
Practice address
2602 WHITEHOUSE RD, COLONIAL HEIGHTS, VA 23834-5398
(804) 651-7972
(804) 530-0195
Mailing address
1313 PLEASANT CREEK CT, COLONIAL HEIGHTS, VA 23834-6841
(804) 651-7972
(804) 530-0195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2009
Last updated
08/09/2009
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