ABUNDANT LIVING FOUNDATION INC. NPI 1033973854

NPI Information

  • NPI: 1033973854
  • Provider Name: ABUNDANT LIVING FOUNDATION, INC.
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • CLIA Number: 11D2193095
  • Address: 1558 MARIETTA HWY STE 200
    CANTON, GA
    ZIP 30114
  • Phone: (914) 275-1477

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NPI Details

ABUNDANT LIVING FOUNDATION, INC. is a community health clinic center in Canton, GA. ABUNDANT LIVING FOUNDATION, INC. NPI is 1033973854. The provider is registered as an organization entity type.

The provider's business location address is:

1558 MARIETTA HWY STE 200
CANTON, GA
ZIP 30114-615
Phone: (914) 275-1477

The provider's authorized official is Evelynmarie Sabrinah Dorce .
The authorized official title is Founder And Executive Director and has the following contact phone number (404) 282-8292.

The CLIA number assigned to this NPI record is 11D2193095 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2024 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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