I Am Boundless, INC

NPI #1104700822 in Fairborn, Ohio

Provider Information

NPI Number
1104700822
Entity Type
Organization
Organization Name
I Am Boundless, INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Aug 5, 2025
Last Updated
Aug 5, 2025

Practice Location

Address
1460 GRACELAND DR
State
Ohio
ZIP Code
45324-4374
Phone
(614) 844-3800

Authorized Official

Name
LAURIE B HICKMAN
Title
CONTRACTING & CREDENTIALING MANAGER
Phone
(614) 844-3800

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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