Organization
ABUNDANCE MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA K PHILIPS R.N. (OWNER/CEO)
(682) 518-6769
Entity
Organization
Contact information
Practice address
7311 GALLO, GRAND PRAIRIE, TX 75054-6705
(682) 518-6769
Mailing address
7311 GALLO, GRAND PRAIRIE, TX 75054-6705
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/11/2009
Last updated
07/11/2009
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