- Enrollment id
- O20100611000589
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1295060143
- Multiple npi flag
- N
- Ccn
- 671668
- Associate id
- 6204966542
- Organization name
- ABUNDANT HOSPICE SERVICES, LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1201 N WATSON RD
- Address line 2
- STE 166
- City
- ARLINGTON
- State
- TX
- Zip code
- 760066249