MEDICARE: ABSOLUTE SUPPORT AND COMPANION SERVICES, LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730730292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE SUPPORT AND COMPANION SERVICES, LLC

Provider Business Mailing Address
First Line	:	5463 N STATE ROAD 7
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2954
Country	:	US
Telephone Number	:	954-532-0320
Fax Number	:

Provider Business Practice Location Address
First Line	:	5463 N STATE ROAD 7
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2954
Country	:	US
Telephone Number	:	954-532-0320
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ATISHA RELIFORD
Credential	:
Telephone Number	:	954-532-0320

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	08/02/2022

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