MEDICARE: LIMITLESS HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1003130501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMITLESS HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	10225 BISSONNET ST APT 1322
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7834
Country	:	US
Telephone Number	:	832-890-8020
Fax Number	:

Provider Business Practice Location Address
First Line	:	10225 BISSONNET ST APT 1322
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7834
Country	:	US
Telephone Number	:	832-890-8020
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. NWACHUKWU E ANAZODO
Credential	:	RN
Telephone Number	:	832-890-8020

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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