| Abundant Life Care Services, Llc | |
|
163 Stratford Ct Suite 236 Winston Salem NC 27103-1836 | |
| (336) 682-2908 | |
| Not Available |
| Full Name | Abundant Life Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 163 Stratford Ct, Winston Salem, North Carolina |
| Authorized Official Name and Position | Clarence Carter (CEO) |
| Authorized Official Contact | 3366822908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Care Services, Llc 163 Stratford Ct Box 26 Winston Salem NC 27103-1836 Ph: (336) 682-2908 | Abundant Life Care Services, Llc 163 Stratford Ct Suite 236 Winston Salem NC 27103-1836 Ph: (336) 682-2908 |
| NPI Number | 1982840492 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982840492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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