=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538336052
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIMIT NOT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2008
-----------------------------------------------------
Last Update Date | 05/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 920 WEST MALONEY AVENUE
-----------------------------------------------------
City | GALLUP
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-722-2288
-----------------------------------------------------
Fax | 505-722-2278
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 920 W MALONEY AVE
-----------------------------------------------------
City | GALLUP
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87301-5311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-722-2288
-----------------------------------------------------
Fax | 505-722-2278
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. TERESA T. KISER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 505-722-2288
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number | 5617
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------