Provider Demographics
NPI:1609220334
Name:ABSOLUTE ROYALTY SENIOR HEALTHCARE
Entity Type:Organization
Organization Name:ABSOLUTE ROYALTY SENIOR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:ONWUMERE
Authorized Official - Last Name:NWONYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-336-6252
Mailing Address - Street 1:W154N6293 MARVEL DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-5885
Mailing Address - Country:US
Mailing Address - Phone:414-336-6252
Mailing Address - Fax:
Practice Address - Street 1:W154N6293 MARVEL DR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-5885
Practice Address - Country:US
Practice Address - Phone:414-336-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health