Provider Demographics
NPI:1770891061
Name:LOVE WITHOUT LIMITS
Entity type:Organization
Organization Name:LOVE WITHOUT LIMITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STALLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:662-546-4417
Mailing Address - Street 1:300 YEATES ST
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3248
Mailing Address - Country:US
Mailing Address - Phone:662-546-4417
Mailing Address - Fax:662-546-4417
Practice Address - Street 1:300 YEATES ST
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3248
Practice Address - Country:US
Practice Address - Phone:662-546-4417
Practice Address - Fax:662-546-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251V00000X, 347C00000X
MS253Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle