Provider Demographics
NPI:1851056477
Name:UNCONDITIONAL CARE LLC
Entity Type:Organization
Organization Name:UNCONDITIONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JETERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-541-5502
Mailing Address - Street 1:13106 SONOMA BEND PL
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-3925
Mailing Address - Country:US
Mailing Address - Phone:813-541-5502
Mailing Address - Fax:
Practice Address - Street 1:13106 SONOMA BEND PL
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534
Practice Address - Country:US
Practice Address - Phone:813-541-5502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services