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ABUNDANT LIFE COMMUNITY DEVELOPMENT CORPORATION NPI 1568810430


NPI Information

NPI: 1568810430
Provider Name: ABUNDANT LIFE COMMUNITY DEVELOPMENT CORPORATION
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
24 BLEVINS DR
NEW CASTLE, DE
ZIP 19720
Phone: (302) 983-6436
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ABUNDANT LIFE COMMUNITY DEVELOPMENT CORPORATION is an intellectual and developmental disabilities in New Castle, DE. ABUNDANT LIFE COMMUNITY DEVELOPMENT CORPORATION NPI is 1568810430. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

24 BLEVINS DR
NEW CASTLE, DE
ZIP 19720-152
Phone: (302) 983-6436

The provider's authorized official is Ellis Fagbami .
The authorized official title is President and has the following contact phone number (302) 983-6436.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 12/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes
2103TR0400XPsychologistRehabilitationNo
3251C00000XDay Training, Developmentally Disabled ServicesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.