Provider Demographics
NPI:1578269593
Name:ABUNDANT SERVICES,LLC
Entity Type:Organization
Organization Name:ABUNDANT SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:SAIMON
Authorized Official - Last Name:OLOTU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:913-242-1208
Mailing Address - Street 1:10235 GRANDVIEW ST APT A
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4278
Mailing Address - Country:US
Mailing Address - Phone:913-242-1208
Mailing Address - Fax:913-499-6687
Practice Address - Street 1:10235 GRANDVIEW ST APT A10235
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4207
Practice Address - Country:US
Practice Address - Phone:913-242-1208
Practice Address - Fax:913-499-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities