Provider Demographics
NPI:1073052304
Name:BOUNDLESS SERVICES FOR YOU
Entity Type:Organization
Organization Name:BOUNDLESS SERVICES FOR YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MIGDALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINARES LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:239-628-0301
Mailing Address - Street 1:1325 SE 47TH ST
Mailing Address - Street 2:UNIT H
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9692
Mailing Address - Country:US
Mailing Address - Phone:239-628-0301
Mailing Address - Fax:850-757-0091
Practice Address - Street 1:1806 NE 33RD ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-7346
Practice Address - Country:US
Practice Address - Phone:239-628-0301
Practice Address - Fax:850-757-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care