Provider Demographics
NPI:1477230613
Name:ABUNDANT DWELLING LLC
Entity Type:Organization
Organization Name:ABUNDANT DWELLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIEMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSISIOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-633-6953
Mailing Address - Street 1:14030 ARNOLD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-2817
Mailing Address - Country:US
Mailing Address - Phone:313-633-6953
Mailing Address - Fax:
Practice Address - Street 1:14030 ARNOLD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-2817
Practice Address - Country:US
Practice Address - Phone:313-633-6953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging