Healthcare Provider Details

I. General information

NPI: 1407094790
Provider Name (Legal Business Name): ABSOLUTE CARE,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7207 DESIARD ST STE 6
MONROE LA
71203-3914
US

IV. Provider business mailing address

7207 DESIARD ST STE 6
MONROE LA
71203-3914
US

V. Phone/Fax

Practice location:
  • Phone: 318-938-2848
  • Fax: 318-775-0714
Mailing address:
  • Phone: 318-938-2848
  • Fax: 318-775-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberPCA 15080
License Number StateLA

VIII. Authorized Official

Name: MR. MARKUS BOSLEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-938-2848