Abundant Life Center Intensive In-Home Services
NPI #1629200662 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1629200662
- Entity Type
- Organization
- Organization Name
- Abundant Life Center Intensive In-Home Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 9, 2009
- Last Updated
- Aug 9, 2009
Practice Location
- Address
- 2602 WHITEHOUSE RD
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-5398
- Phone
- (804) 651-7972
Authorized Official
- Name
- MR. RODNEY MARK WILLIAMS
- Title
- MEMBER
- Phone
- (804) 651-7972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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