Healthcare Provider Details

I. General information

NPI: 1851522205
Provider Name (Legal Business Name): UNICARE FAMILY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 08/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 WAGNER AVE
PHILADELPHIA PA
19141-2927
US

IV. Provider business mailing address

1015 WAGNER AVE
PHILADELPHIA PA
19141-2927
US

V. Phone/Fax

Practice location:
  • Phone: 267-304-0981
  • Fax: 302-832-6830
Mailing address:
  • Phone: 267-304-0981
  • Fax: 302-832-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MOSES EMANNUEL OLUCHI ANYAEGBU
Title or Position: DIRECTOR
Credential:
Phone: 267-304-0981