MEDICARE: UNITY & UNITED FAMILY CARE STAFFING FOR MRDD

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
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1689940231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY & UNITED FAMILY CARE STAFFING FOR MRDD

Provider Business Mailing Address
First Line	:	3749 MARTIN LUTHER KING JR DR
Second Line	:	UP
City	:	CLEVELAND
State	:	OH
Zip	:	44105-2867
Country	:	US
Telephone Number	:	216-355-8721
Fax Number	:

Provider Business Practice Location Address
First Line	:	3749 MARTIN LUTHER KING JR DR
Second Line	:	UP
City	:	CLEVELAND
State	:	OH
Zip	:	44105-2867
Country	:	US
Telephone Number	:	216-355-8721
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. JANICE MELTON- RELAFORD
Credential	:
Telephone Number	:	216-355-8721

Provider Enumeration Date	:	03/28/2012
Last Update Date	:	03/28/2012

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