Abundant Life Corp INC
NPI #1346729050 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1346729050
- Entity Type
- Organization
- Organization Name
- Abundant Life Corp INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 13, 2018
- Last Updated
- Aug 13, 2018
Practice Location
- Address
- 260 SEMINOLE DR
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-7622
- Phone
- (803) 662-9701
Authorized Official
- Name
- TIFFANY RICHARDSON
- Title
- AUTHORIZED OFFICAL
- Phone
- (803) 290-1783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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