Provider Demographics
NPI:1104452317
Name:ABOVE & BEYOND INT'L ADULT DAY CARE, INC.
Entity type:Organization
Organization Name:ABOVE & BEYOND INT'L ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBADON
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:913-909-7298
Mailing Address - Street 1:PO BOX 480033
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64148-0033
Mailing Address - Country:US
Mailing Address - Phone:913-909-7298
Mailing Address - Fax:
Practice Address - Street 1:2814 WABASH AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1345
Practice Address - Country:US
Practice Address - Phone:913-909-7298
Practice Address - Fax:816-326-8576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care