Organization
ABUNDANT LIVING HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMEKA PATRICE GILLIAM PHD (CEO)
(919) 223-2709
Entity
Organization
Contact information
Practice address
299 ROBERT F HARGROVE RD, MOUNT OLIVE, NC 28365-8338
(919) 223-2709
Mailing address
507 W MAIN ST APT B, MOUNT OLIVE, NC 28365-1937
(919) 223-2709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
03/08/2026
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