Abundant Life Residential Services

NPI #1912292129 in Fort Washington, Maryland

Provider Information

NPI Number: 1912292129
Entity Type: Organization
Organization Name: Abundant Life Residential Services
Primary Specialty: Contractor
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 8000 PRINCE GEORGES DR
City: Fort Washington
State: Maryland
ZIP Code: 20744-2264
Phone: (202) 498-4557

Authorized Official

Name: LATONYA PATRICE POWELL
Title: DIRECTOR
Phone: (202) 498-4557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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