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Organization
ABOVE THE REST RECONDITIONING LLC
Active
Organization
ABOVE THE REST RECONDITIONING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANIKA S DALTON NCCPSS, CADAC-A (OWNER)
(336) 918-9028
Entity
Organization
Contact information
Practice address
2006 NE 24TH ST, WINSTON SALEM, NC 27105-5514
(336) 918-9028
Mailing address
2006 NE 24TH ST, WINSTON SALEM, NC 27105-5514
(336) 918-9028
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/14/2025
Last updated
05/02/2025
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