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Organization

ABOVE AND BEYOND HABILITATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALEISHA M. ELLIS (DIRECTOR)
(850) 386-9232
Entity
Organization

Contact information

Practice address
1931 WELBY WAY, SUITE 3, TALLAHASSEE, FL 32308-4462
(850) 386-9232
(850) 562-5257
Mailing address
1931 WELBY WAY, SUITE 3, TALLAHASSEE, FL 32308-4462
(850) 386-9232
(850) 562-5257

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
688118196
FL
343900000X
Non-emergency Medical Transport (VAN)
688118198
FL
372600000X
Adult Companion
688118196
FL
3747A0650X
Attendant Care Provider
688118196
FL
3747P1801X
Personal Care Attendant
Primary
688118196
FL
374U00000X
Home Health Aide
688118196
FL
376J00000X
Homemaker
688118101
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
688118101
FL
05
688118196
FL
05
688118198
FL
Enumeration date
05/29/2010
Last updated
05/29/2010
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