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NPI Code Detail

MEDICARE: UNIFIED HEALTHCARE LLC

MEDICARE: UNIFIED HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse
2163WP0808XPsychiatric/Mental Health Registered Nurse
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1376034132
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIFIED HEALTHCARE LLC
Provider Business Mailing Address
First Line : 294 EASTLAND AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2654
Country : US
Telephone Number : 330-608-9788
Fax Number :
Provider Business Practice Location Address
First Line : 294 EASTLAND AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2654
Country : US
Telephone Number : 330-608-9788
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANTOINETTE LASALLE MILLS
Credential : RN
Telephone Number : 330-608-9788
Provider Enumeration Date : 05/28/2018
Last Update Date : 05/28/2018

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Directions to “UNIFIED HEALTHCARE LLC ” Practice Location

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