Provider Demographics
NPI:1851522205
Name:UNICARE FAMILY SERVICES INC
Entity Type:Organization
Organization Name:UNICARE FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:EMANNUEL OLUCHI
Authorized Official - Last Name:ANYAEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-304-0981
Mailing Address - Street 1:1015 WAGNER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-2927
Mailing Address - Country:US
Mailing Address - Phone:267-304-0981
Mailing Address - Fax:302-832-6830
Practice Address - Street 1:1015 WAGNER AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2927
Practice Address - Country:US
Practice Address - Phone:267-304-0981
Practice Address - Fax:302-832-6830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care