Provider Demographics
NPI:1629643457
Name:ABOVE AND BEYOND COMFORT CARE
Entity Type:Organization
Organization Name:ABOVE AND BEYOND COMFORT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:NYABUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-356-8322
Mailing Address - Street 1:505 MORNING GLORY LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2222
Mailing Address - Country:US
Mailing Address - Phone:612-356-8322
Mailing Address - Fax:
Practice Address - Street 1:505 MORNING GLORY LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2222
Practice Address - Country:US
Practice Address - Phone:612-356-8322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFINITY LIFE AND HEALTH MEDICAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based