MEDICARE: IN2IT LLC

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1205717717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN2IT LLC

Provider Business Mailing Address
First Line	:	2408 MARTHA CIR
Second Line	:
City	:	PINE BLUFF
State	:	AR
Zip	:	71601-5540
Country	:	US
Telephone Number	:	870-209-5279
Fax Number	:

Provider Business Practice Location Address
First Line	:	2408 MARTHA CIR
Second Line	:
City	:	PINE BLUFF
State	:	AR
Zip	:	71601-5540
Country	:	US
Telephone Number	:	870-209-5279
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	SHAMARR MOSELEY
Credential	:	LVN
Telephone Number	:	870-209-5279

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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