Organization
ABUNDANT LIFE ASSISTED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBRA MUNGIA (DIR.OPERATIONS)
(678) 319-0307
Entity
Organization
Contact information
Practice address
703 MACY DR, ROSWELL, GA 30076-6332
(678) 319-0307
Mailing address
PO BOX 1752, ROSWELL, GA 30077-1752
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
060-R-0501
GA
Other
Enumeration date
09/04/2010
Last updated
05/06/2024
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