Healthcare Provider Details

I. General information

NPI: 1669334652
Provider Name (Legal Business Name): ABSOLUTE HEALTH CARE- WOUND CARE PROS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MID CONTINENT PLZ STE 303
WEST MEMPHIS AR
72301-1760
US

IV. Provider business mailing address

310 MID CONTINENT PLZ STE 303
WEST MEMPHIS AR
72301-1760
US

V. Phone/Fax

Practice location:
  • Phone: 870-739-0664
  • Fax:
Mailing address:
  • Phone: 870-739-0664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: RIQELL BOGA
Title or Position: CEO
Credential:
Phone: 870-739-0664