Healthcare Provider Details
I. General information
NPI: 1730745936
Provider Name (Legal Business Name): ACCESS WITHOUT LIMITS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2019
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
156 GREENGABLE WAY
CHESAPEAKE VA
23322-4278
US
IV. Provider business mailing address
156 GREENGABLE WAY
CHESAPEAKE VA
23322-4278
US
V. Phone/Fax
- Phone: 757-560-0231
- Fax: 757-482-9033
- Phone: 757-560-0231
- Fax: 757-482-9033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JACK
B
HARRIS
JR.
Title or Position: VICE PRESIDENT/OWNER
Credential:
Phone: 757-560-0231