Organization
ABSOLUTE-RICHARD SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKANG N ABUNAW (CEO)
(419) 534-2371
Entity
Organization
Contact information
Practice address
5237 RENWYCK DR, TOLEDO, OH 43615-5996
(419) 534-2371
(419) 534-2392
Mailing address
5237 RENWYCK DR, TOLEDO, OH 43615-5996
(419) 534-2371
(419) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2718456
—
OH
Enumeration date
02/05/2019
Last updated
02/05/2019
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