Healthcare Provider Details

I. General information

NPI: 1649806720
Provider Name (Legal Business Name): ABSOLUTE RIGHT CHOICE LL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 JEFFERSON AVE
NEWPORT NEWS VA
23607-3406
US

IV. Provider business mailing address

3214 JEFFERSON AVE
NEWPORT NEWS VA
23607-3406
US

V. Phone/Fax

Practice location:
  • Phone: 757-991-0240
  • Fax:
Mailing address:
  • Phone: 757-991-0240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY RAY COOPER
Title or Position: PRESIDENT
Credential:
Phone: 757-991-0240