Provider Demographics
NPI:1659180842
Name:UNIFIED RESIDENTIAL CARE, INC
Entity type:Organization
Organization Name:UNIFIED RESIDENTIAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-998-3330
Mailing Address - Street 1:12019 E MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:509-413-0444
Practice Address - Street 1:12019 E MAIN AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5114
Practice Address - Country:US
Practice Address - Phone:509-998-3330
Practice Address - Fax:509-413-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances