Provider Demographics
NPI:1144409129
Name:LIVES WITHOUT LIMITS
Entity Type:Organization
Organization Name:LIVES WITHOUT LIMITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECUTARY
Authorized Official - Prefix:MISS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:REAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-726-0281
Mailing Address - Street 1:102 S MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64024-2036
Mailing Address - Country:US
Mailing Address - Phone:816-726-0281
Mailing Address - Fax:
Practice Address - Street 1:102 S MYRTLE ST
Practice Address - Street 2:
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-2036
Practice Address - Country:US
Practice Address - Phone:816-726-0281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities