Organization Name: | ABOVE & BEYOND-HIGHLAND LLC |
NPI Number: | 1760865620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEREMY THOMAS THIELEMIER (OWNER) |
Mailing Address: | 2379 Highway 62 412 Ste H Highland |
State: | AR US |
Postal Code: | 725429391 |
Phone Number: | 8708563030 |
Fax Number: | 8708563033 |
NPI Enumeration Date: | 07/09/2015 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | AR5095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |