Provider Demographics
NPI:1487232336
Name:ABOVE AVERAGE HEALTHCARE SOLUTIONS, LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:ABOVE AVERAGE HEALTHCARE SOLUTIONS, LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-655-4785
Mailing Address - Street 1:2300 VALLEY VIEW LN
Mailing Address - Street 2:SUITE 720
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-1721
Mailing Address - Country:US
Mailing Address - Phone:318-655-4785
Mailing Address - Fax:
Practice Address - Street 1:2300 VALLEY VIEW LN
Practice Address - Street 2:SUITE 720
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-1721
Practice Address - Country:US
Practice Address - Phone:318-655-4785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities