NPI | 1508489790 |
---|---|
Other Name | ABUNDANT LIFE MINISTRIES-HOPE HOUSE, INC. |
Entity Type | Organization |
Authorized Contact | SANDRA SHANK CEO 386-597-2861 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-05-21 |
Last Update Date | 2020-05-21 |