Provider Demographics
NPI:1154012599
Name:NO LIMITS EASTERN SHORE
Entity type:Organization
Organization Name:NO LIMITS EASTERN SHORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-789-3990
Mailing Address - Street 1:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:TASLEY
Mailing Address - State:VA
Mailing Address - Zip Code:23441-0259
Mailing Address - Country:US
Mailing Address - Phone:757-789-3990
Mailing Address - Fax:855-978-1967
Practice Address - Street 1:24546 COASTAL BLVD
Practice Address - Street 2:
Practice Address - City:TASLEY
Practice Address - State:VA
Practice Address - Zip Code:23441-0259
Practice Address - Country:US
Practice Address - Phone:757-789-3990
Practice Address - Fax:855-978-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management