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NPI Code Detail

MEDICARE: I AM BOUNDLESS, INC.

MEDICARE: I AM BOUNDLESS, 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
1315P00000XIntellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number : 1568247351
Entity Type Code : Organization
Provider Name (Legal Business Name) : I AM BOUNDLESS, INC.
Provider Business Mailing Address
First Line : 445 E DUBLIN GRANVILLE RD
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-3192
Country : US
Telephone Number : 614-844-3800
Fax Number : 614-515-5779
Provider Business Practice Location Address
First Line : 6797 STEARNS RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-5014
Country : US
Telephone Number : 614-844-3800
Fax Number :
Authorized Official
Title or Position : REIMBURSEMENT MANAGER
Name : MICHELLE BARNER
Credential :
Telephone Number : 614-844-3800
Provider Enumeration Date : 08/29/2023
Last Update Date : 08/29/2023

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Directions to “I AM BOUNDLESS, INC. ” Practice Location

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