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NPI Code Detail

MEDICARE: BEYOND COMPANION

MEDICARE: BEYOND COMPANION
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
1372600000XAdult Companion178200LGBGA
2253Z00000XIn Home Supportive Care Agency178200LGBGA

General Provider Information

NPI Number : 1447787973
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND COMPANION
Provider Business Mailing Address
First Line : PO BOX 1338
Second Line :
City : CONLEY
State : GA
Zip : 30288-7020
Country : US
Telephone Number : 617-955-4385
Fax Number :
Provider Business Practice Location Address
First Line : 730 PEACHTREE ST NE STE 570
Second Line :
City : ATLANTA
State : GA
Zip : 30308-1244
Country : US
Telephone Number : 617-955-4385
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MISS CASSIE ULYSSE
Credential : MSM
Telephone Number : 617-955-4385
Provider Enumeration Date : 05/15/2017
Last Update Date : 09/11/2021

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Directions to “BEYOND COMPANION ” Practice Location

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