Provider Demographics
NPI:1497821805
Name:A ABSOLUTE CARE INC
Entity Type:Organization
Organization Name:A ABSOLUTE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MURPHY
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-771-4370
Mailing Address - Street 1:943 W ANDREWS AVE # G
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2516
Mailing Address - Country:US
Mailing Address - Phone:252-430-0112
Mailing Address - Fax:252-430-1113
Practice Address - Street 1:943 W ANDREWS AVE # G
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2516
Practice Address - Country:US
Practice Address - Phone:252-430-0112
Practice Address - Fax:252-430-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301464BMedicaid
NC8301464JMedicaid
NC8302052BMedicaid
NC8301464GMedicaid
NC8302234Medicaid
NC8301464Medicaid
NC8302052Medicaid
NC8302234BMedicaid