MEDICARE: UNLIMITED RECOVERY 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1891518437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLIMITED RECOVERY SERVICES, INC.

Provider Business Mailing Address
First Line	:	1112 ANDEAN GOOSE WAY
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7130
Country	:	US
Telephone Number	:	240-643-6811
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 ANDEAN GOOSE WAY
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7130
Country	:	US
Telephone Number	:	240-643-6811
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MOJISOLA AGBEBI
Credential	:
Telephone Number	:	240-643-6811

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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