# ABOVE AND BEYOND HOMEHEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639487127
- **Authorized official:** FATIMA MUHAMMAD (PRESIDENT)
- **Authorized official phone:** (252) 565-2944

## Contact information

- **Practice address:** 1005 HARE STREET, CONWAY, SC 29526
- **Practice address phone:** (252) 565-2944
- **Mailing address:** 2704 JEFFERSON DR, GREENVILLE, NC 27858-4018
- **Mailing address phone:** (252) 565-2944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2010
- **Last updated:** 09/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000 | — | SC |