Abundant Life Treatment Center

LBN: Abundant Life Treatment Center
Abundant Life Treatment Center is an health care organization with primary practice located at 108 W Hope Lodge St , Tarboro NC 27886-2439. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Abundant Life Treatment Center can be contacted via phone (252) 774-4100, or through Williams, Gerenda Latrice via phone (252) 883-1670.

Contact Information

Primary practice address
108 W Hope Lodge St Tarboro NC 27886-2439
Phone: (252) 774-4100
Fax: (252) 774-4100
Website:
Map and Directions
Authorized official contact:
Name: Williams, Gerenda Latrice
Phone: (252) 883-1670

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 033097 North Carolina

Profile Details

NPI number 1467741058
LBN Legal business name Abundant Life Treatment Center
DBA Doing business as
Authorized official Williams, Gerenda Latrice
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 14 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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