Organization
ABUNDANT ENTEPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEOLA O JAIYEOLA MD (MANAGING DIRECTOR)
(214) 493-1212
Entity
Organization
Contact information
Practice address
5545 LAWNSBERRY DR, FORT WORTH, TX 76137-4390
(214) 493-1212
Mailing address
5545 LAWNSBERRY DR, FORT WORTH, TX 76137-4390
(214) 493-1212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
06/12/2024
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