Provider Demographics
NPI:1558665836
Name:ABSOLUTE CARE STAFFING HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:ABSOLUTE CARE STAFFING HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:APOLLOS
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-784-9218
Mailing Address - Street 1:111 WINDEL DR
Mailing Address - Street 2:SUITE 221
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4475
Mailing Address - Country:US
Mailing Address - Phone:919-784-9218
Mailing Address - Fax:919-784-9219
Practice Address - Street 1:111 WINDEL DR
Practice Address - Street 2:SUITE 221
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4475
Practice Address - Country:US
Practice Address - Phone:919-784-9218
Practice Address - Fax:919-784-9219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4270251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health