MEDICARE: A ABSOLUTE CARE INC

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
1	251S00000X	Community/Behavioral Health Agency		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497821805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A ABSOLUTE CARE INC

Provider Business Mailing Address
First Line	:	943 W ANDREWS AVE # G
Second Line	:
City	:	HENDERSON
State	:	NC
Zip	:	27536-2516
Country	:	US
Telephone Number	:	252-430-0112
Fax Number	:	252-430-1113

Provider Business Practice Location Address
First Line	:	943 W ANDREWS AVE # G
Second Line	:
City	:	HENDERSON
State	:	NC
Zip	:	27536-2516
Country	:	US
Telephone Number	:	252-430-0112
Fax Number	:	252-430-1113

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. PAMELA MURPHY REESE
Credential	:
Telephone Number	:	919-771-4370

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	06/23/2008

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