ABSOLUTE NUTRITION LLC NPI 1023202801

NPI Information

NPI: 1023202801
Provider Name: ABSOLUTE NUTRITION LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
1209 COMMERCE DR STE 101
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 424-6637
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ABSOLUTE NUTRITION LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Mountain Home, AR. ABSOLUTE NUTRITION LLC NPI is 1023202801. The provider is registered as an organization entity type.

The provider's business location address is:

1209 COMMERCE DR STE 101
MOUNTAIN HOME, AR
ZIP 72653-601
Phone: (870) 424-6637

The provider's authorized official is Tammy Amyx Mitchell .
The authorized official title is Owner and has the following contact phone number (870) 424-6637.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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