Provider Demographics
NPI:1780210476
Name:UNIQUE ADULT DAY HEALTHCARE INC.
Entity Type:Organization
Organization Name:UNIQUE ADULT DAY HEALTHCARE INC.
Other - Org Name:UNIQUE ADULT DAY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:310-890-1281
Mailing Address - Street 1:14628 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3323
Mailing Address - Country:US
Mailing Address - Phone:310-890-1281
Mailing Address - Fax:442-800-5756
Practice Address - Street 1:14628 MAIN ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3323
Practice Address - Country:US
Practice Address - Phone:310-890-1281
Practice Address - Fax:442-800-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health