Above And Beyond Personal Home Care LLC
In Home Supportive Care in Grand Prairie, TX. Organization (NPI-2).
NPI number1013628882
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1013628882
- Entity type
- Organization (NPI-2)
- Legal business name
- Above And Beyond Personal Home Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2022
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
313 Sw 15th StGrand Prairie, TX 75051-1412
Phone 240-353-6080
Mailing address
313 Sw 15th StGrand Prairie, TX 75051-1412
Phone 240-353-6080
Authorized official
Ebony Griffin
President/Admin
2403536080
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