Absolute Care | |
1125 Deer Creek Dr Cookeville TN 38501 | |
(931) 273-7900 | |
Not Available |
Full Name | Absolute Care |
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Speciality | Psychiatric Residential Treatment Facility |
Location | 1125 Deer Creek Dr, Cookeville, Tennessee |
Authorized Official Name and Position | Brandi D Lawson (OWNER) |
Authorized Official Contact | 9312737900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Absolute Care 403 Oakland Dr Sparta TN 38583-1429 Ph: (931) 273-7900 | Absolute Care 1125 Deer Creek Dr Cookeville TN 38501 Ph: (931) 273-7900 |
NPI Number | 1649764481 |
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Provider Enumeration Date | 06/15/2018 |
Last Update Date | 11/15/2021 |
Certification Date | 11/15/2021 |
Medicare PECOS PAC ID | 9133473119 |
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Medicare Enrollment ID | O20211130000131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649764481 | NPI | - | NPPES |
Q045493 | Medicaid | TN |
Provider Name | Glenn T Webb |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538240130 PECOS PAC ID: 7113191685 Enrollment ID: I20111118000086 |
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