Organization
ABOVE & BEYOND-HIGHLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY THOMAS THIELEMIER (OWNER)
(501) 658-9758
Entity
Organization
Contact information
Practice address
2379 HIGHWAY 62 412 STE H, HIGHLAND, AR 72542-9391
(870) 856-3030
(870) 856-3033
Mailing address
2379 HIGHWAY 62 412 STE H, HIGHLAND, AR 72542-9391
(870) 856-3030
(870) 856-3033
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AR5095
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206774797
—
AR
05
—
206782752
—
AR
05
—
206783757
—
AR
05
—
206784796
—
AR
05
—
206785732
—
AR
Enumeration date
07/09/2015
Last updated
07/09/2015
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