Abundant Life Home Life, Inc

LBN: Abundant Life Home Life, Inc
Abundant Life Home Life, Inc is an health care organization with primary practice located at 1505 Washington Ave , Weldon NC 27890-2025. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Abundant Life Home Life, Inc can be contacted via phone (252) 536-2409, or through Dailey, Ralph via phone (252) 536-2409.

Contact Information

Primary practice address
1505 Washington Ave Weldon NC 27890-2025
Phone: (252) 536-2409
Fax: (252) 536-5532
Website:
Map and Directions
Authorized official contact:
Name: Dailey, Ralph
Phone: (252) 536-2409

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1194886143
LBN Legal business name Abundant Life Home Life, Inc
DBA Doing business as
Authorized official Dailey, Ralph
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194886143 NPPES
North Carolina MEDICAID 6601554

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