Provider Demographics
NPI:1902402498
Name:UNIQUE PRIVATE CARE AND NURSE STAFFING, LLC
Entity Type:Organization
Organization Name:UNIQUE PRIVATE CARE AND NURSE STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISELIRE
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-454-7302
Mailing Address - Street 1:1125 WEST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4279
Mailing Address - Country:US
Mailing Address - Phone:443-454-7302
Mailing Address - Fax:410-656-1601
Practice Address - Street 1:1125 WEST ST STE 200
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4279
Practice Address - Country:US
Practice Address - Phone:443-454-7302
Practice Address - Fax:410-656-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care