Provider Demographics
NPI:1962729780
Name:ABSOLUTE HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:ABSOLUTE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-374-2212
Mailing Address - Street 1:13540 N FLORIDA AVE STE 202A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3210
Mailing Address - Country:US
Mailing Address - Phone:813-374-2212
Mailing Address - Fax:813-374-2213
Practice Address - Street 1:13540 N FLORIDA AVE STE 202A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3210
Practice Address - Country:US
Practice Address - Phone:813-374-2212
Practice Address - Fax:813-374-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211440251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health