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Organization
ABOVE AND BEYOND RESIDENTIAL LIVING, INC
Active
Organization
ABOVE AND BEYOND RESIDENTIAL LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE JACKSON (PROGRAM DIRECTOR)
(615) 254-1811
Entity
Organization
Contact information
Practice address
315 10TH AVE N, STE 122, NASHVILLE, TN 37203-3498
(615) 254-1811
(615) 254-2818
Mailing address
315 10TH AVE N, STE 122, NASHVILLE, TN 37203-3498
(615) 254-1811
(615) 254-2818
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000006337
TN
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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