Organization Name: | 4UNIQUE PERSONAL CARE, LLC |
NPI Number: | 1811319593 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA HOLIDAY (OWNER) |
Mailing Address: | 7940 Goodwood Blvd Ste A Baton Rouge |
State: | LA US |
Postal Code: | 708067629 |
Phone Number: | 2252319447 |
Fax Number: | 2252319414 |
NPI Enumeration Date: | 01/14/2014 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2203781677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |