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NPI Code Detail

MEDICARE: ALL ABSOLUTE HOME CARE

MEDICARE: ALL ABSOLUTE HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1205487360
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL ABSOLUTE HOME CARE
Provider Business Mailing Address
First Line : PO BOX 153709
Second Line :
City : IRVING
State : TX
Zip : 75015-3709
Country : US
Telephone Number : 214-282-9530
Fax Number :
Provider Business Practice Location Address
First Line : 2626 COLE AVE STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75204-1094
Country : US
Telephone Number : 214-282-9530
Fax Number :
Authorized Official
Title or Position : OWNER OF ENTITY
Name : ANGEL L ADAMS
Credential : PMHNP-BC
Telephone Number : 214-282-9530
Provider Enumeration Date : 09/20/2019
Last Update Date : 09/20/2019

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Directions to “ALL ABSOLUTE HOME CARE ” Practice Location

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