| Abundance Of Hope Llc | |
|
186 S River Ave Ste 5 Holland MI 49423-2848 | |
| (616) 260-0993 | |
| Not Available |
| Full Name | Abundance Of Hope Llc |
|---|---|
| Speciality | Social Worker |
| Location | 186 S River Ave Ste 5, Holland, Michigan |
| Authorized Official Name and Position | Jill Suzann Vanderbent (OWNER) |
| Authorized Official Contact | 6162600993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Of Hope Llc 186 S River Ave Ste 5 Holland MI 49423-2848 Ph: (616) 260-0993 | Abundance Of Hope Llc 186 S River Ave Ste 5 Holland MI 49423-2848 Ph: (616) 260-0993 |
| NPI Number | 1871044214 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 5890077473 |
|---|---|
| Medicare Enrollment ID | O20170113001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871044214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085550 (Michigan) | Primary |
| Provider Name | Jill S Vander Bent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952473928 PECOS PAC ID: 4789779539 Enrollment ID: I20071009000340 |
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