Provider Demographics
NPI:1467814277
Name:ABSOLUTE CARE SERVICE
Entity Type:Organization
Organization Name:ABSOLUTE CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ILENE
Authorized Official - Middle Name:ROSETTA
Authorized Official - Last Name:MCCREATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-793-0657
Mailing Address - Street 1:9567 N BELFORT CIR
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1880
Mailing Address - Country:US
Mailing Address - Phone:954-793-0657
Mailing Address - Fax:954-726-7741
Practice Address - Street 1:9567 N BELFORT CIR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1880
Practice Address - Country:US
Practice Address - Phone:954-793-0657
Practice Address - Fax:954-726-7741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization