Provider Demographics
NPI:1336689934
Name:ABOVE&BEYONDCARELLC
Entity Type:Organization
Organization Name:ABOVE&BEYONDCARELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:MELODY
Authorized Official - Last Name:HALEY-PEAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-987-3780
Mailing Address - Street 1:4742 PENN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-5823
Mailing Address - Country:US
Mailing Address - Phone:215-744-8338
Mailing Address - Fax:215-744-8338
Practice Address - Street 1:4742 PENN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-5823
Practice Address - Country:US
Practice Address - Phone:215-744-8338
Practice Address - Fax:215-744-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN257008L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health