Organization Name: | ABSOLUTE CARE HOME HEALTHCARE, LLC |
NPI Number: | 1144590274 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OMOWUNMI ELIZABETH FAGBILE (OWNER/CFO) |
Mailing Address: | 18625 Midway Rd A 1712 Dallas |
State: | TX US |
Postal Code: | 752873979 |
Phone Number: | 2146000039 |
Fax Number: | 2142272028 |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 015506 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |