Provider Demographics
NPI:1134603293
Name:ABSOLUTELY GOLDEN LLC
Entity type:Organization
Organization Name:ABSOLUTELY GOLDEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE PRACTICAL NU
Authorized Official - Phone:850-610-0591
Mailing Address - Street 1:1451 GRIFF ST
Mailing Address - Street 2:
Mailing Address - City:CHATTAHOOCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:32324-2622
Mailing Address - Country:US
Mailing Address - Phone:850-610-0591
Mailing Address - Fax:
Practice Address - Street 1:1451 GRIFF ST
Practice Address - Street 2:
Practice Address - City:CHATTAHOOCHEE
Practice Address - State:FL
Practice Address - Zip Code:32324-2622
Practice Address - Country:US
Practice Address - Phone:850-610-0591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL235592OtherHOMEMAKER & COMPANION SERVICES