Abundant Life Nursing Services Inc.

Organization Active NPI Home Health Agency · Randallstown, MD

NPI 1346589470 · NPPES record last updated Feb 8, 2013

Key facts

NPI
1346589470
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ABUNDANT LIFE NURSING SERVICES INC.
Practice address
8608 Bramble LN
Ste. T2
Randallstown, MD 21133-5152
Phone
(443) 272-7731
Fax
(443) 272-7756
NPI assigned
Feb 8, 2013
Organization subpart
No

Authorized official

Name
Basil Fomanka
Title
President/Treasurer
Phone
(443) 520-8138

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

8608 Bramble LN
Ste. T2
Randallstown, MD 21133-5152

Mailing address

PO Box 32572
Pikesville, MD 21282-2572
Phone (443) 272-7731

Other providers in Randallstown, MD

All providers in Randallstown, MD · Home Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.