Organization
ABUNDANT LIFE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DAVID BELLEVUE MBA (CEO)
(267) 622-3195
Entity
Organization
Contact information
Practice address
458 E WALNUT LN, PHILADELPHIA, PA 19144-1054
(267) 622-3195
Mailing address
458 E WALNUT LN, PHILADELPHIA, PA 19144-1054
(267) 622-3195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4202634
PA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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