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NPI Code Detail

MEDICARE: ABUNDANT LIVING HOME HEALTH

MEDICARE: ABUNDANT LIVING HOME HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1902244718
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABUNDANT LIVING HOME HEALTH
Provider Business Mailing Address
First Line : 1115 MONTANA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5509
Country : US
Telephone Number : 915-564-0168
Fax Number :
Provider Business Practice Location Address
First Line : 1115 MONTANA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5509
Country : US
Telephone Number : 915-564-0168
Fax Number : 210-714-0168
Authorized Official
Title or Position : CEO/ADMINISTRATOR
Name : MIGUEL VILLANUEVA
Credential :
Telephone Number : 915-564-0168
Provider Enumeration Date : 06/13/2013
Last Update Date : 07/17/2023

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Directions to “ABUNDANT LIVING HOME HEALTH ” Practice Location

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