Provider Demographics
NPI:1568673796
Name:BASICS AND BEYOND, LLC
Entity Type:Organization
Organization Name:BASICS AND BEYOND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFIGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-386-0434
Mailing Address - Street 1:6510 GRAYSON CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-3033
Mailing Address - Country:US
Mailing Address - Phone:615-386-0434
Mailing Address - Fax:
Practice Address - Street 1:2424 21ST AVE S
Practice Address - Street 2:SUITE #104
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5315
Practice Address - Country:US
Practice Address - Phone:615-386-0434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty