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Above And Beyond Residential Living, INC

In Home Supportive Care in Nashville, TN. Organization (NPI-2).

NPI number1285936880
StatusActive
Last updated in NPPESDec 2, 2010

Details

NPI
1285936880
Entity type
Organization (NPI-2)
Legal business name
Above And Beyond Residential Living, INC
Organization subpart
No
Enumeration date
Dec 2, 2010
Last updated
Dec 2, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care1000000006337TNYes
311ZA0620X Custodial Care Facility, Adult Care Home––

Practice location

315 10th Ave N
Ste 122
Nashville, TN 37203-3498

Phone 615-254-1811 · Fax 615-254-2818

Mailing address

315 10th Ave N
Ste 122
Nashville, TN 37203-3498

Phone 615-254-1811 · Fax 615-254-2818

Authorized official

Willie Jackson
Program Director
6152541811

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