| 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 |