MEDICARE: ABOVE ALL ELSE HEALTHCARE RESOURCES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1427374693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE ALL ELSE HEALTHCARE RESOURCES INC

Provider Business Mailing Address
First Line	:	2527 VILLAGE SQUARE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4093
Country	:	US
Telephone Number	:	281-261-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	2527 VILLAGE SQUARE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4093
Country	:	US
Telephone Number	:	281-261-8637
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ERNEST IMOISI
Credential	:
Telephone Number	:	281-261-8637

Provider Enumeration Date	:	04/13/2010
Last Update Date	:	04/13/2010

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