Provider Demographics
NPI:1215540273
Name:ABSOLUTE RELIEF PROVIDER SERVICES
Entity Type:Organization
Organization Name:ABSOLUTE RELIEF PROVIDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDRIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-855-2004
Mailing Address - Street 1:315 ADDICKS HOWELL RD UNIT 941021
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-2344
Mailing Address - Country:US
Mailing Address - Phone:713-855-2004
Mailing Address - Fax:
Practice Address - Street 1:5934 YAUPON RIDGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-1650
Practice Address - Country:US
Practice Address - Phone:832-462-3538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health