Healthcare Provider Details

I. General information

NPI: 1952182016
Provider Name (Legal Business Name): ABSOLUTE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 N HIGH ST
ROANOKE IN
46783-1051
US

IV. Provider business mailing address

164 N HIGH ST
ROANOKE IN
46783-1051
US

V. Phone/Fax

Practice location:
  • Phone: 260-888-2433
  • Fax: 260-888-2434
Mailing address:
  • Phone: 260-888-2433
  • Fax: 260-888-2434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAUNNA F MINNICK
Title or Position: OWNER/MANAGING PARTNER
Credential: RN
Phone: 317-650-9031