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General NPI Number Information
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NPI Number | 1407625056
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Entity Type | Organization
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Legal Business Name | ABSOLUTE CARE CORPORATION INC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 4129 W ROOSEVELT DR # A
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City | MILWAUKEE
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State | WI
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Zip | 53216-3041
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Country | US
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Telephone | 312-529-0337
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Fax | 262-393-0387
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Provider Business Mailing Address
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Address Line | 4129 W ROOSEVELT DR # A
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City | MILWAUKEE
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State | WI
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Zip | 53216-3041
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Country | US
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Telephone | 312-529-0337
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Fax | 262-393-0387
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Authorized Official
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Title or Position | CEO
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Name | MISS HEAVEN THORNTON
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Credential |
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Telephone | 312-529-0337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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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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