Organization
BEYOND EXTRAORDINARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TACHELLE GOLDSMITH (PRESIDENT)
(267) 266-1339
Entity
Organization
Contact information
Practice address
4025 W GIRARD AVE # 100, PHILADELPHIA, PA 19104-1031
(267) 266-1339
Mailing address
4025 W GIRARD AVE # 100, PHILADELPHIA, PA 19104-1031
(267) 266-1339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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