Organization
LIFE UNLIMITED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE EDLUND (CHIEF EXECUTIVE OFFICER)
(816) 474-3026
Entity
Organization
Contact information
Practice address
4420 S 40TH ST, SAINT JOSEPH, MO 64503-2157
(816) 279-8558
(816) 279-1550
Mailing address
320 ARMOUR RD, NORTH KANSAS CITY, MO 64116-3515
(816) 474-3026
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266212307
—
MO
Enumeration date
11/29/2006
Last updated
07/03/2024
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