Healthcare Provider Details

I. General information

NPI: 1275899221
Provider Name (Legal Business Name): ABUNDANT LIVING HEALTH AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N CRAIG ST SUITE 150
PITTSBURGH PA
15213-1571
US

IV. Provider business mailing address

155 N CRAIG ST SUITE 150
PITTSBURGH PA
15213-1571
US

V. Phone/Fax

Practice location:
  • Phone: 412-728-0699
  • Fax:
Mailing address:
  • Phone: 412-728-0699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE POWELL
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 412-203-4455