Provider Demographics
NPI:1689755993
Name:UNIQUE RECOVERY OF LOUISIANA, INC.
Entity Type:Organization
Organization Name:UNIQUE RECOVERY OF LOUISIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:CANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-293-1444
Mailing Address - Street 1:2332 EASTGATE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2361
Mailing Address - Country:US
Mailing Address - Phone:225-293-1444
Mailing Address - Fax:225-293-1445
Practice Address - Street 1:2332 EASTGATE DR
Practice Address - Street 2:SUITE E
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2361
Practice Address - Country:US
Practice Address - Phone:225-293-1444
Practice Address - Fax:225-293-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies