Provider Demographics
NPI:1568779023
Name:UNIQUE LIVING 'HEALTH & WELLNESS' FACILITY, L.L.C.
Entity Type:Organization
Organization Name:UNIQUE LIVING 'HEALTH & WELLNESS' FACILITY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:ISOLOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-459-0769
Mailing Address - Street 1:1601 INDUSTRIAL BLVD STE 3029
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2602
Mailing Address - Country:US
Mailing Address - Phone:281-459-0769
Mailing Address - Fax:
Practice Address - Street 1:1601 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2600
Practice Address - Country:US
Practice Address - Phone:281-459-0769
Practice Address - Fax:281-459-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-06
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty