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General NPI Number Information
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NPI Number | 1992241517
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Entity Type | Organization
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Legal Business Name | ABSOLUTE OPTIONS HEALTH LLC
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Dates
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Enumeration Date | 01/07/2017
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Last Update Date | 01/07/2017
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Provider Practice Location Address
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Address Line | 1802 ELM SHADOW DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-2920
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Country | US
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Telephone | 832-884-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 ELM SHADOW DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-2920
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Country | US
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Telephone | 832-884-1411
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OLUSOLA AJELETI-OLUFADEJU
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Credential |
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Telephone | 832-884-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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