Provider Demographics
NPI:1760822472
Name:EUNIQUE MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:EUNIQUE MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIEDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:YATHISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINHOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-880-5003
Mailing Address - Street 1:1771 ELLIOTT ST
Mailing Address - Street 2:STE A
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-6770
Mailing Address - Country:US
Mailing Address - Phone:318-449-3732
Mailing Address - Fax:318-449-3878
Practice Address - Street 1:1771 ELLIOTT ST
Practice Address - Street 2:STE A
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-6770
Practice Address - Country:US
Practice Address - Phone:318-449-3732
Practice Address - Fax:318-449-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251G00000X
LA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based