MEDICARE: INFINITE LINK 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	253Z00000X	In Home Supportive Care Agency	015239	TX

General Provider Information

NPI Number	:	1235456344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE LINK INC

Provider Business Mailing Address
First Line	:	10101 FONDREN RD STE 560
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4578
Country	:	US
Telephone Number	:	281-886-7941
Fax Number	:	281-857-6646

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD STE 560
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4578
Country	:	US
Telephone Number	:	281-886-7941
Fax Number	:	281-857-6646

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ROLAND N OJIAKU
Credential	:
Telephone Number	:	281-886-7941

Provider Enumeration Date	:	04/28/2010
Last Update Date	:	01/10/2013

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