Provider Demographics
NPI:1780981423
Name:UNIQUEHEALTH CARE INC
Entity type:Organization
Organization Name:UNIQUEHEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARJO
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAWALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-913-6461
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01903-0203
Mailing Address - Country:US
Mailing Address - Phone:781-913-6461
Mailing Address - Fax:781-780-7297
Practice Address - Street 1:12 GRAVES AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-2604
Practice Address - Country:US
Practice Address - Phone:781-913-6461
Practice Address - Fax:781-780-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8050251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health