Abundant Life Corp Inc

Organization Active NPI Adult Care Home Facility · Orangeburg, SC

NPI 1346729050 · NPPES record last updated Aug 13, 2018

Key facts

NPI
1346729050
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
ABUNDANT LIFE CORP INC
Practice address
260 Seminole Dr
Orangeburg, SC 29115-7622
Phone
(803) 662-9701
NPI assigned
Aug 13, 2018
Organization subpart
No

Authorized official

Name
Tiffany Richardson
Title
Authorized Offical
Phone
(803) 290-1783

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

260 Seminole Dr
Orangeburg, SC 29115-7622

Mailing address

260 Seminole Dr
Orangeburg, SC 29115-7622
Phone (803) 662-9701

Other providers in Orangeburg, SC

All providers in Orangeburg, SC · Adult Care Home Facility in South Carolina

Sources for this page

Verify at the official NPI Registry.