Provider Demographics
NPI:1750844866
Name:UNIQUE LINGERIE SERVICES LLC
Entity Type:Organization
Organization Name:UNIQUE LINGERIE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARKOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-438-3235
Mailing Address - Street 1:4830 SW 62ND ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4782
Mailing Address - Country:US
Mailing Address - Phone:321-438-3235
Mailing Address - Fax:
Practice Address - Street 1:4414 SW COLLEGE RD UNIT 1930
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4795
Practice Address - Country:US
Practice Address - Phone:352-629-5590
Practice Address - Fax:352-390-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier