Provider Demographics
NPI:1821437864
Name:ABSOLUTE HEALTH CARE
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCHELL
Authorized Official - Middle Name:DENELL
Authorized Official - Last Name:HARPER-SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-695-1792
Mailing Address - Street 1:4051 MEADOW WALK CT
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-3445
Mailing Address - Country:US
Mailing Address - Phone:810-695-1792
Mailing Address - Fax:
Practice Address - Street 1:1024 PROFESSIONAL DR
Practice Address - Street 2:SUITE A-3
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3635
Practice Address - Country:US
Practice Address - Phone:810-695-1792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service