Provider Demographics
NPI:1730314089
Name:LUNIQUE HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:LUNIQUE HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:PEROTTE
Authorized Official - Last Name:PEAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN,
Authorized Official - Phone:704-909-9381
Mailing Address - Street 1:6442 SPRINGBEAUTY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-2573
Mailing Address - Country:US
Mailing Address - Phone:704-909-9381
Mailing Address - Fax:704-537-5939
Practice Address - Street 1:6442 SPRINGBEAUTY DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-2573
Practice Address - Country:US
Practice Address - Phone:704-909-9381
Practice Address - Fax:704-537-5939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC230286251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health