Organization
ABUNDANT LIFE HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE THOMAS MARSHALL (CEO)
(763) 843-0735
Entity
Organization
Contact information
Practice address
5901 BROOKLYN BLVD., STE 110, BROOKLYN CENTER, MN 55429-4017
(763) 843-0735
(763) 777-8727
Mailing address
6812 EWING AVE N, BROOKLYN CENTER, MN 55429-1882
(763) 732-8391
(763) 208-1975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
343526
MN
251E00000X
Home Health Agency
Primary
344067
MN
Other
Enumeration date
06/03/2009
Last updated
05/28/2024
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