Organization
ABSOLUTE HCBS
Active
Organization
ABSOLUTE HCBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY MISTICO (OWNER/CFO)
(623) 806-4040
Entity
Organization
Contact information
Practice address
4700 S MCCLINTOCK DR STE 150, TEMPE, AZ 85282-7375
(623) 806-4040
Mailing address
4700 S MCCLINTOCK DR STE 150, TEMPE, AZ 85282-7375
(623) 806-4040
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
Update your record
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