Provider Demographics
NPI:1497997506
Name:ABOVE AND BEYOND HOMEHEALTHCARE
Entity Type:Organization
Organization Name:ABOVE AND BEYOND HOMEHEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUITERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:432-661-0070
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:CRANE
Mailing Address - State:TX
Mailing Address - Zip Code:79731-0025
Mailing Address - Country:US
Mailing Address - Phone:432-661-0070
Mailing Address - Fax:
Practice Address - Street 1:520B S GASTON ST
Practice Address - Street 2:
Practice Address - City:CRANE
Practice Address - State:TX
Practice Address - Zip Code:79731-2617
Practice Address - Country:US
Practice Address - Phone:432-661-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health