Healthcare Provider Details

I. General information

NPI: 1609529411
Provider Name (Legal Business Name): UNWIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DOWNINGTON CT
GREENVILLE SC
29615-3735
US

IV. Provider business mailing address

PO BOX 175
MAULDIN SC
29662-0175
US

V. Phone/Fax

Practice location:
  • Phone: 864-982-4577
  • Fax:
Mailing address:
  • Phone: 864-982-4577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: VIVIANA DE FELIPE
Title or Position: CO-FOUNDER
Credential:
Phone: 864-982-4577