Organization
ABOVE AND BEYOND CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES KENISHA WARD (OWNER)
(702) 994-2611
Entity
Organization
Contact information
Practice address
2136 E. BOWKER ST, PHOENIX, AZ 85040
(702) 994-2611
Mailing address
2308 E. CHIPMAN RD, PHOENIX, AZ 85040
(702) 994-2611
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
AZ
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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