Provider Demographics
NPI:1689940231
Name:UNITY & UNITED FAMILY CARE STAFFING FOR MRDD
Entity Type:Organization
Organization Name:UNITY & UNITED FAMILY CARE STAFFING FOR MRDD
Other - Org Name:ABILITIES FOR CARE ADULT FACILITY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELTON- RELAFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-355-8721
Mailing Address - Street 1:3749 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:UP
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-2867
Mailing Address - Country:US
Mailing Address - Phone:216-355-8721
Mailing Address - Fax:
Practice Address - Street 1:3749 MARTIN LUTHER KING JR DR
Practice Address - Street 2:UP
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-2867
Practice Address - Country:US
Practice Address - Phone:216-355-8721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health