Provider Demographics
NPI:1508540188
Name:UNIQUESTARCHOICELLC
Entity Type:Organization
Organization Name:UNIQUESTARCHOICELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHADIJAT
Authorized Official - Middle Name:OLADOYIN
Authorized Official - Last Name:ADEBIYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-565-7062
Mailing Address - Street 1:8509 CROOKED TREE LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2489
Mailing Address - Country:US
Mailing Address - Phone:301-543-0717
Mailing Address - Fax:
Practice Address - Street 1:8509 CROOKED TREE LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2489
Practice Address - Country:US
Practice Address - Phone:240-565-7062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty