Provider Demographics
NPI:1891557914
Name:DM UNLIMITED LIVING CARE LLC
Entity Type:Organization
Organization Name:DM UNLIMITED LIVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:MUHOZA
Authorized Official - Last Name:TUYISENGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-602-1125
Mailing Address - Street 1:7126 PARKSTAY CT
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-7020
Mailing Address - Country:US
Mailing Address - Phone:717-602-1125
Mailing Address - Fax:
Practice Address - Street 1:7126 PARKSTAY CT
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-7020
Practice Address - Country:US
Practice Address - Phone:717-602-1125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care