Provider Demographics
NPI:1669334652
Name:ABSOLUTE HEALTH CARE- WOUND CARE PROS
Entity type:Organization
Organization Name:ABSOLUTE HEALTH CARE- WOUND CARE PROS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RIQELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-739-0664
Mailing Address - Street 1:310 MID CONTINENT PLZ STE 303
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-1760
Mailing Address - Country:US
Mailing Address - Phone:870-739-0664
Mailing Address - Fax:
Practice Address - Street 1:310 MID CONTINENT PLZ STE 303
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-1760
Practice Address - Country:US
Practice Address - Phone:870-739-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty