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NPI Code Detail

MEDICARE: ABSOLUTE OPTIONS HEALTH LLC

MEDICARE: ABSOLUTE OPTIONS HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
3251B00000XCase Management Agency

General Provider Information

NPI Number : 1992241517
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE OPTIONS HEALTH LLC
Provider Business Mailing Address
First Line : 1802 ELM SHADOW DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-2920
Country : US
Telephone Number : 832-884-1411
Fax Number :
Provider Business Practice Location Address
First Line : 1802 ELM SHADOW DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-2920
Country : US
Telephone Number : 832-884-1411
Fax Number :
Authorized Official
Title or Position : CEO
Name : OLUSOLA AJELETI-OLUFADEJU
Credential :
Telephone Number : 832-884-1411
Provider Enumeration Date : 01/07/2017
Last Update Date : 01/07/2017

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Directions to “ABSOLUTE OPTIONS HEALTH LLC ” Practice Location

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