| NPI | 1609696418 |
|---|---|
| Former Legal Business Name | ABUNDANT LIFE COLLABORATIVE CARE LLC |
| Entity Type | Organization |
| Authorized Contact | TIARA ROBINSON Owner 463-273-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |