| Limitless Evolution LLC | |
|
3524 Osage Beach Pkwy Osage Beach MO 65065-5622 | |
| (573) 693-9818 | |
| Not Available |
| Full Name | Limitless Evolution LLC |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 3524 Osage Beach Pkwy, Osage Beach, Missouri |
| Authorized Official Name and Position | Justin Deskin (OWNER) |
| Authorized Official Contact | 5736939818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Limitless Evolution LLC 3524 Osage Beach Pkwy Osage Beach MO 65065-5622 Ph: (573) 693-9818 | Limitless Evolution LLC 3524 Osage Beach Pkwy Osage Beach MO 65065-5622 Ph: (573) 693-9818 |
| NPI Number | 1215534805 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215534805 | NPI | - | NPPES |
| 9HAHHA800 | Other | HIN |
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