| Absolute Health, Inc. | |
|
560 Belle Terre Blvd La Place LA 70068-1715 | |
| (985) 652-0078 | |
| (985) 652-8360 |
| Full Name | Absolute Health, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 560 Belle Terre Blvd, La Place, Louisiana |
| Authorized Official Name and Position | Daintry Conerly (OWNER/CEO) |
| Authorized Official Contact | 9856520078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Health, Inc. 560 Belle Terre Blvd La Place LA 70068-1715 Ph: (985) 652-0078 | Absolute Health, Inc. 560 Belle Terre Blvd La Place LA 70068-1715 Ph: (985) 652-0078 |
| NPI Number | 1780708974 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/06/2015 |
| Medicare PECOS PAC ID | 6305205204 |
|---|---|
| Medicare Enrollment ID | O20230711000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780708974 | NPI | - | NPPES |
| 1166456 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
| Provider Name | Kendrick J Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750747531 PECOS PAC ID: 9234507328 Enrollment ID: I20221121002782 |
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