Provider Demographics
NPI:1053458588
Name:UNIFIED COMMUNITY HUMAN SERVICES
Entity Type:Organization
Organization Name:UNIFIED COMMUNITY HUMAN SERVICES
Other - Org Name:UCHS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENTCEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LINWOOD
Authorized Official - Middle Name:JOLLIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BAQP
Authorized Official - Phone:252-985-2007
Mailing Address - Street 1:PO BOX 6587
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27802-6587
Mailing Address - Country:US
Mailing Address - Phone:252-985-2007
Mailing Address - Fax:252-985-2004
Practice Address - Street 1:2500 NASH ST N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1394
Practice Address - Country:US
Practice Address - Phone:252-293-0003
Practice Address - Fax:252-206-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty