| Abundant Life Health Care, Inc. | |
|
4325 Downtowner Loop N Ste B Mobile AL 36609-5501 | |
| (251) 460-9177 | |
| Not Available |
| Full Name | Abundant Life Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4325 Downtowner Loop N Ste B, Mobile, Alabama |
| Authorized Official Name and Position | Cynthia Crabtree (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2514609177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Health Care, Inc. 4325 Downtowner Loop N Ste B Mobile AL 36609-5501 Ph: () - | Abundant Life Health Care, Inc. 4325 Downtowner Loop N Ste B Mobile AL 36609-5501 Ph: (251) 460-9177 |
| NPI Number | 1467727818 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Medicare PECOS PAC ID | 0547423980 |
|---|---|
| Medicare Enrollment ID | O20120522000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467727818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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