Abundant Life Residential Services

LBN: Abundant Life Residential Services
Abundant Life Residential Services is an health care organization with primary practice located at 8000 Prince Georges Dr , Fort Washington MD 20744-2264. The organization recently has only one registered license in Other Service Providers / Contractor, which is considered as the primary health care specialty. Abundant Life Residential Services can be contacted via phone (202) 498-4557, or through Powell, Latonya Patrice via phone (202) 498-4557.

Contact Information

Primary practice address
8000 Prince Georges Dr Fort Washington MD 20744-2264
Phone: (202) 498-4557
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powell, Latonya Patrice
Phone: (202) 498-4557

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1912292129
LBN Legal business name Abundant Life Residential Services
DBA Doing business as
Authorized official Powell, Latonya Patrice
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912292129 NPPES
District of Columbia MEDICAID 035966800

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