Healthcare Provider Details

I. General information

NPI: 1316490873
Provider Name (Legal Business Name): ABSOLUTE ELDERCARE CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2016
Last Update Date: 08/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3541 RIDGEVIEW CT
BLOOMFIELD HILLS MI
48302-1252
US

IV. Provider business mailing address

3541 RIDGEVIEW CT
BLOOMFIELD HILLS MI
48302-1252
US

V. Phone/Fax

Practice location:
  • Phone: 248-757-2459
  • Fax: 810-695-0552
Mailing address:
  • Phone: 248-757-2459
  • Fax: 810-695-0552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELENA ANDREEVNA POPOVA
Title or Position: OWNER / DIRECTOR
Credential:
Phone: 248-757-2459