Abundant Love, LLC
NPI #1306323332 in Disputanta, Virginia
Provider Information
- NPI Number
- 1306323332
- Entity Type
- Organization
- Organization Name
- Abundant Love, LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 23, 2018
- Last Updated
- Jul 23, 2018
Practice Location
- Address
- 10424 WALTON LAKE RD
- City
- Disputanta
- State
- Virginia
- ZIP Code
- 23842-4703
- Phone
- (757) 477-0424
Authorized Official
- Name
- MS. SHAWANA ANTOINETTE ROACH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (757) 477-0424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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