Healthcare Provider Details

I. General information

NPI: 1720844384
Provider Name (Legal Business Name): ABSOLUTE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 BROOKDALE ST NW
NORTH CANTON OH
44709-2225
US

IV. Provider business mailing address

PO BOX 1308
MASSILLON OH
44648-1308
US

V. Phone/Fax

Practice location:
  • Phone: 330-791-5141
  • Fax: 330-476-2573
Mailing address:
  • Phone: 330-791-5141
  • Fax: 330-476-2573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA ANN OSHAUGHNESSY OSHAUGHNESSY TURNURE
Title or Position: OWNER
Credential: APRN
Phone: 330-791-5141