Provider Demographics
NPI:1821620881
Name:ABSOLUTECARE INC
Entity Type:Organization
Organization Name:ABSOLUTECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CE0
Authorized Official - Prefix:
Authorized Official - First Name:KAMALDEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-201-8985
Mailing Address - Street 1:7515 ANNAPOLIS RD STE 409
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1752
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7515 ANNAPOLIS RD STE 409
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1752
Practice Address - Country:US
Practice Address - Phone:301-577-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities