Organization
ABSOLUTE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY Y CRAWFORD (ADMINISTRATOR)
(336) 765-9735
Entity
Organization
Contact information
Practice address
895 PETERS CREEK PKWY, SUITE 104B, WINSTON SALEM, NC 27103-3857
(336) 765-9735
Mailing address
895 PETERS CREEK PKWY, SUITE 104B, WINSTON SALEM, NC 27103-3857
(336) 765-9735
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409053
—
NC
05
—
6600536
—
NC
Enumeration date
03/27/2007
Last updated
01/30/2015
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