Provider Demographics
NPI:1396354395
Name:UNIQUE ADULT FAMILY CARE HOME INC.
Entity type:Organization
Organization Name:UNIQUE ADULT FAMILY CARE HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CINEAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:561-502-8781
Mailing Address - Street 1:7149 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-9404
Mailing Address - Country:US
Mailing Address - Phone:561-502-8781
Mailing Address - Fax:
Practice Address - Street 1:7149 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-9404
Practice Address - Country:US
Practice Address - Phone:561-502-8781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home