MEDICARE: ABSOLUTECARE 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	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1821620881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTECARE INC

Provider Business Mailing Address
First Line	:	7515 ANNAPOLIS RD STE 409
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7515 ANNAPOLIS RD STE 409
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1752
Country	:	US
Telephone Number	:	301-577-6500
Fax Number	:

Authorized Official
Title or Position	:	CE0
Name	:	KAMALDEEN SANNI
Credential	:
Telephone Number	:	202-201-8985

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	02/07/2020

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Directions to “ABSOLUTECARE INC ” Practice Location

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