Provider Demographics
NPI:1669833091
Name:UNITED FOR ONE, LLC
Entity Type:Organization
Organization Name:UNITED FOR ONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-412-3503
Mailing Address - Street 1:316 PARKLAND CIR
Mailing Address - Street 2:UNIT 301
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4553
Mailing Address - Country:US
Mailing Address - Phone:407-412-3503
Mailing Address - Fax:
Practice Address - Street 1:316 PARKLAND CIR
Practice Address - Street 2:UNIT 301
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4553
Practice Address - Country:US
Practice Address - Phone:407-412-3503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-12
Last Update Date:2016-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health