Provider Demographics
NPI:1497872352
Name:UNE SUR UNE RESOURCE SERVICES LLC
Entity Type:Organization
Organization Name:UNE SUR UNE RESOURCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LEJEUNE-HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-823-6559
Mailing Address - Street 1:406 PIPER BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48215-3039
Mailing Address - Country:US
Mailing Address - Phone:313-823-6559
Mailing Address - Fax:313-824-0696
Practice Address - Street 1:8718 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48211-1241
Practice Address - Country:US
Practice Address - Phone:313-823-6559
Practice Address - Fax:313-824-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-24
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010666701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P06290Medicare PIN