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Contact Information

ABUNDANCE LIVING LLC
9492 W FAIRVIEW AVE
BOISE, ID83704-8101
 Phone: 208-440-6545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Community/Behavioral Health

251S00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for ABUNDANCE LIVING LLC · (Female)

NPI # 1790640480
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2025
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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