| NPI | 1912152018 |
|---|---|
| Other Name | ABUNDANCE HOME |
| Entity Type | Organization |
| Authorized Contact | VICKY NOE Administrator 225-275-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: LA 629) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |