Provider Demographics
NPI:1881889517
Name:UNIQUE HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:UNIQUE HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-479-8217
Mailing Address - Street 1:125 PINEBLUFF LAKE RD
Mailing Address - Street 2:
Mailing Address - City:PINEBLUFF
Mailing Address - State:NC
Mailing Address - Zip Code:28373-8053
Mailing Address - Country:US
Mailing Address - Phone:800-479-8217
Mailing Address - Fax:910-281-3239
Practice Address - Street 1:707 S PINEHURST ST
Practice Address - Street 2:SUITE C
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-1845
Practice Address - Country:US
Practice Address - Phone:800-479-8217
Practice Address - Fax:800-479-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2840251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409696Medicaid