Healthcare Provider Details

I. General information

NPI: 1538336052
Provider Name (Legal Business Name): LIMIT NOT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 WEST MALONEY AVENUE
GALLUP NM
87301
US

IV. Provider business mailing address

920 W MALONEY AVE
GALLUP NM
87301-5311
US

V. Phone/Fax

Practice location:
  • Phone: 505-722-2288
  • Fax: 505-722-2278
Mailing address:
  • Phone: 505-722-2288
  • Fax: 505-722-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number5617
License Number StateNM

VIII. Authorized Official

Name: MS. TERESA T. KISER
Title or Position: ADMINISTRATOR
Credential:
Phone: 505-722-2288