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General NPI Number Information
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NPI Number | 1356889877
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Entity Type | Organization
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Legal Business Name | UNICARE LLC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 10116 36TH AVENUE CT SW STE 5
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City | LAKEWOOD
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State | WA
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Zip | 98499-4797
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Country | US
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Telephone | 253-238-8682
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 62ND AVE E
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City | FIFE
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State | WA
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Zip | 98424-2377
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Country | US
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Telephone | 253-250-3189
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SAMMY GATHIRU
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Credential |
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Telephone | 253-250-3189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IHS.FS.60447793
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License Number State | WA
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