Provider Demographics
NPI:1659316420
Name:UNIFORMS UNLTD
Entity Type:Organization
Organization Name:UNIFORMS UNLTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DME PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CEBULSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-237-9605
Mailing Address - Street 1:8183 ELLSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:MI
Mailing Address - Zip Code:49729-9686
Mailing Address - Country:US
Mailing Address - Phone:231-237-9605
Mailing Address - Fax:231-588-6316
Practice Address - Street 1:8183 ELLSWORTH RD
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:MI
Practice Address - Zip Code:49729-9686
Practice Address - Country:US
Practice Address - Phone:231-237-9605
Practice Address - Fax:231-588-6316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4714791Medicaid
MI540A51060OtherBCBS
MI4714791Medicaid
MI4714791Medicaid