| Abundant Life Care Clinic Llc | |
|
516 N Rolling Rd Ste 203 Catonsville MD 21228-4187 | |
| (216) 925-9786 | |
| Not Available |
| Full Name | Abundant Life Care Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 516 N Rolling Rd Ste 203, Catonsville, Maryland |
| Authorized Official Name and Position | Patience M Chia (OWNER) |
| Authorized Official Contact | 2169259786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Care Clinic Llc 4317 Jordan Way Perry Hall MD 21128-9859 Ph: () - | Abundant Life Care Clinic Llc 516 N Rolling Rd Ste 203 Catonsville MD 21228-4187 Ph: (216) 925-9786 |
| NPI Number | 1487388930 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 1658716675 |
|---|---|
| Medicare Enrollment ID | O20240229003092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487388930 | NPI | - | NPPES |
| Provider Name | Patience M Chia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427664200 PECOS PAC ID: 1850785221 Enrollment ID: I20220304001280 |
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