| Abundant Life Community Support Services | |
|
76 S Sierra Madre St Ste L Colorado Springs CO 80903-3399 | |
| (719) 597-5110 | |
| Not Available |
| Full Name | Abundant Life Community Support Services |
|---|---|
| Speciality | Community Health Worker |
| Location | 76 S Sierra Madre St Ste L, Colorado Springs, Colorado |
| Authorized Official Name and Position | Rachel Lassiter (CEO) |
| Authorized Official Contact | 7195975110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Community Support Services 76 S Sierra Madre St Ste L Colorado Springs CO 80903-3399 Ph: (719) 597-5110 | Abundant Life Community Support Services 76 S Sierra Madre St Ste L Colorado Springs CO 80903-3399 Ph: (719) 597-5110 |
| NPI Number | 1790516920 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790516920 | NPI | - | NPPES |
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