Provider Demographics
NPI:1790538098
Name:ABSOLUTE JOY HOME CARE
Entity Type:Organization
Organization Name:ABSOLUTE JOY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:803-917-0696
Mailing Address - Street 1:671 RAPIDS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-3024
Mailing Address - Country:US
Mailing Address - Phone:803-917-0696
Mailing Address - Fax:
Practice Address - Street 1:671 RAPIDS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3024
Practice Address - Country:US
Practice Address - Phone:803-917-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care