Provider Demographics
NPI:1467787317
Name:UNIQUE CARE SERVICES INC
Entity Type:Organization
Organization Name:UNIQUE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PETRONILLA
Authorized Official - Middle Name:OGECHI
Authorized Official - Last Name:UDUMAEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-718-0308
Mailing Address - Street 1:9304 FOREST LN STE 174N
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:214-341-7600
Mailing Address - Fax:214-341-7670
Practice Address - Street 1:9304 FOREST LN STE 174N
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-341-7600
Practice Address - Fax:214-341-7670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-10
Last Update Date:2009-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty