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Organization
UNLIMITED HEALTHCARE PROVIDER, LLC
Active
Organization
UNLIMITED HEALTHCARE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RAYETTA LAMOTTHE OTR/L-MHA (PRESIDENT)
(214) 538-7476
Entity
Organization
Contact information
Practice address
1016 E LEDBETTER DR, DALLAS, TX 75216-6862
(214) 375-8883
(214) 375-8884
Mailing address
1016 E LEDBETTER DR, DALLAS, TX 75216-6862
(214) 375-8883
(214) 375-8884
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747519
PTAN
TX
Enumeration date
12/28/2009
Last updated
11/06/2013
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