Provider Demographics
NPI:1821368929
Name:ABSOLUTE LIFE CARE SERVICES INC
Entity Type:Organization
Organization Name:ABSOLUTE LIFE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:EDUMBERTO
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:703-642-0066
Mailing Address - Street 1:5023 BACKLICK RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-642-0066
Mailing Address - Fax:703-642-1015
Practice Address - Street 1:5023 BACKLICK RD
Practice Address - Street 2:SUITE D
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-642-0066
Practice Address - Fax:703-642-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care