Healthcare Provider Details
I. General information
NPI: 1578381448
Provider Name (Legal Business Name): UNICE UNITED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3952 7TH ST
ECORSE MI
48229-1635
US
IV. Provider business mailing address
8225 ALLEN RD
ALLEN PARK MI
48101-1401
US
V. Phone/Fax
- Phone: 734-250-9873
- Fax:
- Phone: 734-250-9873
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LA'BRINA
MONIQUE
ROBERTS
Title or Position: OWNER
Credential:
Phone: 734-250-9873