MEDICARE: UNLIMITED POSSABILITIES, 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	251S00000X	Community/Behavioral Health Agency	420	WV

General Provider Information

NPI Number	:	1053678177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLIMITED POSSABILITIES, INC.

Provider Business Mailing Address
First Line	:	1707 US ROUTE 60 W
Second Line	:
City	:	MILTON
State	:	WV
Zip	:	25541-1133
Country	:	US
Telephone Number	:	304-743-8160
Fax Number	:	888-819-5534

Provider Business Practice Location Address
First Line	:	1707 US ROUTE 60 W
Second Line	:
City	:	MILTON
State	:	WV
Zip	:	25541-1133
Country	:	US
Telephone Number	:	304-743-8160
Fax Number	:	888-819-5534

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SARAH G MARIANI
Credential	:
Telephone Number	:	304-743-8160

Provider Enumeration Date	:	04/13/2012
Last Update Date	:	12/16/2020

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