Provider Demographics
NPI:1568847770
Name:ABSOLUTE PERSONAL CARE, LLC
Entity Type:Organization
Organization Name:ABSOLUTE PERSONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:PAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-559-0232
Mailing Address - Street 1:425 S MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-2300
Mailing Address - Country:US
Mailing Address - Phone:434-634-0414
Mailing Address - Fax:434-634-0657
Practice Address - Street 1:425 S MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-2300
Practice Address - Country:US
Practice Address - Phone:434-634-0414
Practice Address - Fax:434-634-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 161312251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health