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NPI Code Detail

MEDICARE: WITHOUT LIMITS COMMUNITY BASE SERVICES

MEDICARE: WITHOUT LIMITS COMMUNITY BASE SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1851648851
Entity Type Code : Organization
Provider Name (Legal Business Name) : WITHOUT LIMITS COMMUNITY BASE SERVICES
Provider Business Mailing Address
First Line : PO BOX 846
Second Line :
City : DENVER
State : NC
Zip : 28037-0846
Country : US
Telephone Number : 704-473-8382
Fax Number :
Provider Business Practice Location Address
First Line : 4501 HIGHWAY 73
Second Line :
City : IRON STATION
State : NC
Zip : 28080
Country : US
Telephone Number : 704-473-8382
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. JUDY GOEBEL WOOTEN
Credential :
Telephone Number : 704-473-8382
Provider Enumeration Date : 08/08/2012
Last Update Date : 08/08/2012

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Directions to “WITHOUT LIMITS COMMUNITY BASE SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.