Provider Demographics
NPI:1225880628
Name:ABSOLUTE FAITH HEALTHCARE INC
Entity type:Organization
Organization Name:ABSOLUTE FAITH HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MIKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-325-7195
Mailing Address - Street 1:7 PROFESSIONAL PKWY STE 101-29
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-2648
Mailing Address - Country:US
Mailing Address - Phone:601-325-7195
Mailing Address - Fax:
Practice Address - Street 1:7 PROFESSIONAL PKWY STE 101-29
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-2648
Practice Address - Country:US
Practice Address - Phone:601-325-7195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care