Provider Demographics
NPI:1881717429
Name:LIMBCARE MANAGEMENT, LLC
Entity type:Organization
Organization Name:LIMBCARE MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:RESTIVO
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPO
Authorized Official - Phone:985-726-9052
Mailing Address - Street 1:1350 LINDBERG DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8054
Mailing Address - Country:US
Mailing Address - Phone:985-726-9052
Mailing Address - Fax:985-726-9053
Practice Address - Street 1:2910 N ASHLEY ST STE K
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1759
Practice Address - Country:US
Practice Address - Phone:229-247-7551
Practice Address - Fax:229-247-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier