Provider Demographics
NPI:1124177415
Name:ABUNDANCE SUPPORT SERVICES INC.
Entity type:Organization
Organization Name:ABUNDANCE SUPPORT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MALONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-581-6049
Mailing Address - Street 1:20157 NW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3428
Mailing Address - Country:US
Mailing Address - Phone:877-581-6049
Mailing Address - Fax:954-441-5091
Practice Address - Street 1:20157 NW 10TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3428
Practice Address - Country:US
Practice Address - Phone:877-581-6049
Practice Address - Fax:954-441-5091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage