Abundant Life Hcs
NPI #1801838461 in Mount Vernon, Texas
Provider Information
- NPI Number
- 1801838461
- Entity Type
- Organization
- Organization Name
- Abundant Life Hcs
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 102 HOUSTON ST N
- City
- Mount Vernon
- State
- Texas
- ZIP Code
- 75457-2409
- Phone
- (903) 537-7404
Authorized Official
- Name
- MR. MACK G. JONES
- Title
- PROGRAM MANAGER
- Phone
- (903) 537-7404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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