# ABSOLUTE PERSONAL CARE HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336457449
- **Authorized official:** BASIL ODUSANYA (DIRECTOR)
- **Authorized official phone:** (770) 909-4564

## Contact information

- **Practice address:** 7285 DEXTER DR, RIVERDALE, GA 30296-3300
- **Practice address phone:** (770) 909-4564
- **Mailing address:** 7285 DEXTER DR, RIVERDALE, GA 30296-3300
- **Mailing address phone:** (770) 909-4564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 031012761 | GA | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010