Provider Demographics
NPI:1225880628
Name:ABSOLUTE FAITH HEALTHCARE
Entity Type:Organization
Organization Name:ABSOLUTE FAITH HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-325-7195
Mailing Address - Street 1:184 STONEBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-5081
Mailing Address - Country:US
Mailing Address - Phone:601-325-7195
Mailing Address - Fax:
Practice Address - Street 1:184 STONEBRIAR DR
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-5081
Practice Address - Country:US
Practice Address - Phone:601-325-7195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No385H00000XRespite Care FacilityRespite Care