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General NPI Number Information
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NPI Number | 1407175789
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Entity Type | Organization
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Legal Business Name | ABSOLUTE CARE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 12/28/2017
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Provider Practice Location Address
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Address Line | 4613 PHILLIPS HIGHWAY SUITE 208-A
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City | JACKSONVILLE
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State | FL
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Zip | 32207-7290
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Country | US
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Telephone | 904-379-1337
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Fax | 904-738-8721
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Provider Business Mailing Address
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Address Line | 1839 LANE AVE S STE 106
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1260
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Country | US
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Telephone | 904-379-1337
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Fax | 904-738-8721
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GUILLERMO R LABIAL
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Credential | PT, DPT
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Telephone | 904-379-1337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299993731
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License Number State | FL
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