Healthcare Provider Details

I. General information

NPI: 1578214714
Provider Name (Legal Business Name): ABUNDANT LIVING HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 ARLINGTON HIGHLANDS BLVD # 228
ARLINGTON TX
76018-6036
US

IV. Provider business mailing address

3901 ARLINGTON HIGHLANDS BLVD STE 228
ARLINGTON TX
76018-6036
US

V. Phone/Fax

Practice location:
  • Phone: 682-999-9983
  • Fax:
Mailing address:
  • Phone: 682-999-9983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VERONICA SHAW
Title or Position: OWNER
Credential:
Phone: 682-999-9983