Limitless Evolution LLC
NPI #1215534805 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1215534805
- Entity Type
- Organization
- Organization Name
- Limitless Evolution LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 3524 OSAGE BEACH PKWY
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-5622
- Phone
- (573) 693-9818
Authorized Official
- Name
- MR. JUSTIN DESKIN, FEDERAL GOVERNMENT
- Title
- OWNER
- Phone
- (573) 693-9818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
| Clinic/Center |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
| Durable Medical Equipment & Medical Supplies |
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