Provider Demographics
NPI:1780367805
Name:1 ABOVE OF ALL AGENCY COPERATION
Entity type:Organization
Organization Name:1 ABOVE OF ALL AGENCY COPERATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-212-5039
Mailing Address - Street 1:24494 WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4842
Mailing Address - Country:US
Mailing Address - Phone:440-567-8016
Mailing Address - Fax:
Practice Address - Street 1:24494 WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4842
Practice Address - Country:US
Practice Address - Phone:440-567-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health