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Abundant Living Group Home, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Eden, North Carolina
NPI 1164616835

Abundant Living Group Home, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Eden, NC. Abundant Living Group Home, Inc practices in Eden, NC. The NPI Number for Abundant Living Group Home, Inc is 1164616835 and holds a License No. MHL-079-076 (North Carolina).

The current practice location address for Abundant Living Group Home, Inc is 438 Creekridge Dr, Eden, NC and can be reached out via phone at 336-623-7669 and via fax at 336-623-1139.

Location: 438 Creekridge Dr, Eden, NC, 27288-2817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164616835
Provider Name
Abundant Living Group Home, Inc
Credential
Provider Entity Type
Organization
Address
438 Creekridge Dr, Eden, NC, 27288-2817
Phone Number
336-623-7669
Fax Number
336-623-1139
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
438 Creekridge Dr
City
Eden
State
North Carolina
Zip
27288-2817
Phone Number
336-623-7669
Fax Number
336-623-1139
person
Provider Business Mailing Address Details
Address
438 Creekridge Dr
City
Eden
State
North Carolina
Zip
27288-2817
Phone Number
336-623-7669
Fax Number
336-623-1139
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-079-076 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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