Abundant Living Group Home, Inc. in Eden - Residential Treatment Facility, Emotionally Disturbed Children
Abundant Living Group Home, Inc. - NPI 1588704514
Abundant Living Group Home, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Eden, North Carolina. Abundant Living Group Home, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Abundant Living Group Home, Inc. is 1588704514. The last update date is 2020-08-22.
Abundant Living Group Home, Inc.'s current location address is 438 Creekridge Dr, Eden, North Carolina. You can contact this provider via phone number 3366237669 and fax number 3366231139. The mailing address for Abundant Living Group Home, Inc. is 438 Creekridge Dr, Eden, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Abundant Living Group Home, Inc. |
|---|---|
| Address | 438 Creekridge Dr, Eden, North Carolina |
| Phone Number | 3366237669 |
| Fax Number | 3366231139 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Timpson Janice |
| Telephone Number | 3366237669 |
NPI Number Detail
| NPI Number | 1588704514 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 438 Creekridge Dr |
|---|---|
| City | Eden |
| State | North Carolina (NC) |
| Post Code | 272882817 |
| Phone Number | 3366237669 |
| Fax Number | 3366231139 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-079-076 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Abundant Living Group Home, Inc.'s 1588704514?
The Abundant Living Group Home, Inc.'s NPI (National Provider Identifier) Number is 1588704514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Abundant Living Group Home, Inc. located?
The Abundant Living Group Home, Inc. is located at 438 Creekridge Dr, Eden, NC 272882817.
What is Abundant Living Group Home, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Abundant Living Group Home, Inc.'s area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
On what date did the Abundant Living Group Home, Inc. receive its 1588704514 assignment from the Centers for Medicare & Medicaid Services?
The Abundant Living Group Home, Inc. was assigned its 1588704514 by the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information related to Abundant Living Group Home, Inc. most recently updated or refreshed?
The details pertaining to the Abundant Living Group Home, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.