OrganizationActive
Abundant Life Care LLC
NPI 1851835292 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Liberty, MO
Provider details
- NPI number
- 1851835292
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sophia Fisher, Owner(816) 668-5586
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
16823 Ne 116th St
Liberty, MO 64068-8278
Phone: (816) 668-5586
Fax: (816) 453-9068
Approximate (ZIP-level) locationGet directions
Mailing address
16823 Ne 116th St
Liberty, MO 64068-8278
Registry dates
- Enumerated
- 2016-12-04
- Last updated
- 2016-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.