Organization
ABOVE AND BEYOND HOMEHEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA MUHAMMAD (PRESIDENT)
(252) 565-2944
Entity
Organization
Contact information
Practice address
1005 HARE STREET, CONWAY, SC 29526
(252) 565-2944
Mailing address
2704 JEFFERSON DR, GREENVILLE, NC 27858-4018
(252) 565-2944
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
SC
Enumeration date
09/17/2010
Last updated
09/17/2010
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