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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
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