Healthcare Provider Details

I. General information

NPI: 1649710815
Provider Name (Legal Business Name): ABOVE AND BEYOND HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7432 OLD GREENSBORO RD
TUSCALOOSA AL
35405-5981
US

IV. Provider business mailing address

7432 OLD GREENSBORO RD
TUSCALOOSA AL
35405-5981
US

V. Phone/Fax

Practice location:
  • Phone: 334-507-1784
  • Fax:
Mailing address:
  • Phone: 334-507-1784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDALYNN BRAGGS
Title or Position: OWNER
Credential:
Phone: 334-507-1784