Organization
BEYOND HORIZONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKESHA VAUGHN (OWNER)
(512) 791-3491
Entity
Organization
Contact information
Practice address
111 W ANDERSON LN, SUITE E309, AUSTIN, TX 78752-1132
(512) 710-5935
(512) 394-5857
Mailing address
111 W ANDERSON LN, SUITE E309, AUSTIN, TX 78752-1132
(512) 710-5935
(512) 394-5857
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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