Provider Demographics
NPI:1992014419
Name:ABOUND SUPPLIERS, INC
Entity Type:Organization
Organization Name:ABOUND SUPPLIERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:
Authorized Official - Last Name:ATANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-819-0640
Mailing Address - Street 1:6507 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5145
Mailing Address - Country:US
Mailing Address - Phone:817-819-0640
Mailing Address - Fax:
Practice Address - Street 1:6507 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5145
Practice Address - Country:US
Practice Address - Phone:817-819-0640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
TX311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home