Provider Demographics
NPI:1083159156
Name:UNIQUE INDIVIDUAL INC.
Entity Type:Organization
Organization Name:UNIQUE INDIVIDUAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NEHEMIAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-704-9933
Mailing Address - Street 1:4100 CASCADE RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7244
Mailing Address - Country:US
Mailing Address - Phone:678-704-9933
Mailing Address - Fax:678-666-1079
Practice Address - Street 1:4100 CASCADE RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7244
Practice Address - Country:US
Practice Address - Phone:678-704-9933
Practice Address - Fax:678-666-1079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care