| Abundant Enteprise Llc | |
|
5545 Lawnsberry Dr Fort Worth TX 76137-4390 | |
| (214) 493-1212 | |
| Not Available |
| Full Name | Abundant Enteprise Llc |
|---|---|
| Speciality | Clinic/center - Recovery Care |
| Location | 5545 Lawnsberry Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Adeola O Jaiyeola (MANAGING DIRECTOR) |
| Authorized Official Contact | 2144931212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Enteprise Llc 5545 Lawnsberry Dr Fort Worth TX 76137-4390 Ph: (214) 493-1212 | Abundant Enteprise Llc 5545 Lawnsberry Dr Fort Worth TX 76137-4390 Ph: (214) 493-1212 |
| NPI Number | 1922640010 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922640010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Primary |
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