Provider Demographics
NPI:1053562496
Name:ABSOLUTE HEALTH CARE SERVICES, LLC
Entity type:Organization
Organization Name:ABSOLUTE HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-466-1010
Mailing Address - Street 1:4124 ALBY ST
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-4478
Mailing Address - Country:US
Mailing Address - Phone:618-466-1010
Mailing Address - Fax:618-466-5050
Practice Address - Street 1:4124 ALBY ST
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-4478
Practice Address - Country:US
Practice Address - Phone:618-466-1010
Practice Address - Fax:618-466-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA7760251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health