Organization Name: | ABOVE AND BEYOND HOME CARE |
NPI Number: | 1023491602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GWENDOLYN MARIE LEVINGS (ADMINISTRATOR) |
Mailing Address: | 1605 Broad St Lake Charles |
State: | LA US |
Postal Code: | 706014602 |
Phone Number: | 3375645341 |
Fax Number: | 3375645361 |
NPI Enumeration Date: | 07/01/2015 |
NPI Last Update Date: | 07/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2203782383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |