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1831653039
ABUNDANT LIVING CARE ADULT FAMILY HOME
MILWAUKEE, WI
NPI
1831653039
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Entity Type
Organization
Authorized Contact
KIONDRA N BOHANON
Administrator
414-403-9947
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
ABUNDANT LIVING CARE ADULT FAMILY HOME
2721 N 18TH ST
MILWAUKEE, WI 53206-2135
Phone number: 414-930-0138
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Mailing Address
ABUNDANT LIVING CARE ADULT FAMILY HOME
PO BOX 18075
MILWAUKEE, WI 53218-0075
Phone number: 414-403-9947
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