Abundant Life Center Intensive In-home Services | |
2602 Whitehouse Rd Colonial Heights VA 23834-5398 | |
(804) 651-7972 | |
(804) 530-0195 |
Full Name | Abundant Life Center Intensive In-home Services |
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Speciality | Community/behavioral Health |
Location | 2602 Whitehouse Rd, Colonial Heights, Virginia |
Authorized Official Name and Position | Rodney Mark Williams (MEMBER) |
Authorized Official Contact | 8046517972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Abundant Life Center Intensive In-home Services 1313 Pleasant Creek Ct Colonial Heights VA 23834-6841 Ph: (804) 651-7972 | Abundant Life Center Intensive In-home Services 2602 Whitehouse Rd Colonial Heights VA 23834-5398 Ph: (804) 651-7972 |
NPI Number | 1629200662 |
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Provider Enumeration Date | 08/09/2009 |
Last Update Date | 08/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629200662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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