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Organization
BEYOND COMPANION
Active
Organization
BEYOND COMPANION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CASSIE ULYSSE MSM (OWNER)
(617) 955-4385
Entity
Organization
Contact information
Practice address
730 PEACHTREE ST NE STE 570, ATLANTA, GA 30308-1244
(617) 955-4385
Mailing address
PO BOX 1338, CONLEY, GA 30288-7020
(617) 955-4385
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
178200LGB
GA
372600000X
Adult Companion
178200LGB
GA
Other
Enumeration date
05/15/2017
Last updated
09/11/2021
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