Healthcare Provider Details
I. General information
NPI: 1033380498
Provider Name (Legal Business Name): YOUNIQUE HEALTH CARE ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1421 SW 107TH AVE STE 189
MIAMI FL
33174-2526
US
IV. Provider business mailing address
1421 SW 107TH AVE STE 189
MIAMI FL
33174
US
V. Phone/Fax
- Phone: 786-228-7388
- Fax:
- Phone: 786-228-7388
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347B00000X |
| Taxonomy | Bus |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
RAFAEL
LALIN
Title or Position: PRESIDENT
Credential:
Phone: 786-228-7388