Provider Demographics
NPI:1275882318
Name:UNIQUE QUALITIES, LLC
Entity Type:Organization
Organization Name:UNIQUE QUALITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TILETA
Authorized Official - Middle Name:I
Authorized Official - Last Name:VENABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-758-5002
Mailing Address - Street 1:7514 MARTHA ST
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3621
Mailing Address - Country:US
Mailing Address - Phone:202-758-5002
Mailing Address - Fax:
Practice Address - Street 1:7514 MARTHA ST
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3621
Practice Address - Country:US
Practice Address - Phone:202-758-5002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility