Healthcare Provider Details
I. General information
NPI: 1023497062
Provider Name (Legal Business Name): ABSOLUTE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2015
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 N 21ST ST
MONROE LA
71201-6532
US
IV. Provider business mailing address
500 N 21ST ST
MONROE LA
71201-6532
US
V. Phone/Fax
- Phone: 318-450-4911
- Fax: 318-855-6514
- Phone: 318-450-4911
- Fax: 318-855-6514
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | LA |
VIII. Authorized Official
Name:
MARKUS
BOSLEY
Title or Position: ADMINISTRATOR
Credential: PSS, PAS-DOT, LAC
Phone: 318-450-4911