Healthcare Provider Details

I. General information

NPI: 1336312545
Provider Name (Legal Business Name): ABSOLUTE RESPIRATORY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 ATWOOD AVE SUITE 223
JOHNSTON RI
02919-3228
US

IV. Provider business mailing address

1524 ATWOOD AVE SUITE 223
JOHNSTON RI
02919-3228
US

V. Phone/Fax

Practice location:
  • Phone: 401-458-1902
  • Fax: 401-458-1919
Mailing address:
  • Phone: 401-458-1902
  • Fax: 401-458-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: RICHARD CLARK
Title or Position: PRESIDENT
Credential: RRT
Phone: 401-458-1902