Provider Demographics
NPI:1275827164
Name:ABOVE AND BEYOND II FAMILY CARE LLC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND II FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:FOUST
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-212-3474
Mailing Address - Street 1:316 DENNY CIR
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-2706
Mailing Address - Country:US
Mailing Address - Phone:336-212-3474
Mailing Address - Fax:336-226-6417
Practice Address - Street 1:316 DENNY CIR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-2706
Practice Address - Country:US
Practice Address - Phone:336-212-3474
Practice Address - Fax:336-226-6417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-001-122310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility