Provider Demographics
NPI:1215660345
Name:ABOVE AND BEYOND ADULT DAY HEALTH CENTER
Entity type:Organization
Organization Name:ABOVE AND BEYOND ADULT DAY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MS, AMS-C
Authorized Official - Phone:318-617-8316
Mailing Address - Street 1:5454 FINANCIAL PLZ APT 5D
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2650
Mailing Address - Country:US
Mailing Address - Phone:318-617-8316
Mailing Address - Fax:318-216-3062
Practice Address - Street 1:5454 FINANCIAL PLZ APT 5D
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2650
Practice Address - Country:US
Practice Address - Phone:318-617-8316
Practice Address - Fax:318-216-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care