Abundant Life Assisted Seravices Inc
Organization Active NPI Adult Care Home Facility · Roswell, GA
NPI 1598037426 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1598037426
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 060-R-0501 (GA)
- Legal business name
- ABUNDANT LIFE ASSISTED SERAVICES INC
- Practice address
- 10800 Alpharetta Hwy
Suite 208- 713
Roswell, GA 30076-1490 - Phone
- (678) 319-0307
- Fax
- (678) 319-0307
- NPI assigned
- Feb 8, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- N/A
Authorized official
- Name
- Ms. Rebecca M Aidoo I, CNA
- Title
- Administrator
- Phone
- (678) 319-0307
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Abundant Life Assisted Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 060-R-0501 | GA | Yes |
Addresses
Primary practice location
10800 Alpharetta Hwy
Suite 208- 713
Roswell, GA 30076-1490
Mailing address
10800 Alpharetta Hwy
Suite 208- 713
Roswell, GA 30076-4621
Phone (678) 319-0307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744 | Medicaid | GA |
Other names
- N/A
Other providers in Roswell, GA
- Nhora Cecilia Abril
- Mehri Abrishamchi
- Shaliyah Abron
- Absolute Chiropractic and Wellness, LLC
- Absolute Chiropractic, Inc.
- Abundant Life Assisted Services Inc
- Oboshoria Aburime Sr.
- Acceptance & Change, Inc.
- Acerose LLC
- Anne Elizabeth Ackermann
All providers in Roswell, GA · Adult Care Home Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.