Provider Demographics
NPI:1992393268
Name:ABSOLUTE CPR AND ALLIED HEALTH TRAINING LLC
Entity Type:Organization
Organization Name:ABSOLUTE CPR AND ALLIED HEALTH TRAINING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ-LEFFALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-254-5346
Mailing Address - Street 1:402 W WHEATLAND RD STE 180
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4600
Mailing Address - Country:US
Mailing Address - Phone:972-759-6999
Mailing Address - Fax:682-759-5955
Practice Address - Street 1:402 W WHEATLAND RD STE 180
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4600
Practice Address - Country:US
Practice Address - Phone:972-759-6999
Practice Address - Fax:682-759-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health