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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