Provider Demographics
NPI:1053732396
Name:ABOVE ALL PROFESSIONAL HOLDINGS LLC
Entity type:Organization
Organization Name:ABOVE ALL PROFESSIONAL HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-828-9749
Mailing Address - Street 1:1700 COMMERCE ST STE 460
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-5108
Mailing Address - Country:US
Mailing Address - Phone:469-828-9749
Mailing Address - Fax:469-854-0683
Practice Address - Street 1:1700 COMMERCE ST STE 460
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-5108
Practice Address - Country:US
Practice Address - Phone:469-828-9749
Practice Address - Fax:469-854-0683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care