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NPI Code Detail

MEDICARE: UNITY CUSTOM CARE INC.

MEDICARE: UNITY CUSTOM CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1104270107
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITY CUSTOM CARE INC.
Provider Business Mailing Address
First Line : 2658 DEL MAR HEIGHTS RD
Second Line : SUITE 115
City : DEL MAR
State : CA
Zip : 92014-3100
Country : US
Telephone Number : 858-252-0875
Fax Number :
Provider Business Practice Location Address
First Line : 2658 DEL MAR HEIGHTS RD
Second Line : SUITE 115
City : DEL MAR
State : CA
Zip : 92014-3100
Country : US
Telephone Number : 858-252-0875
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. AMY SNYDER
Credential :
Telephone Number : 858-252-0876
Provider Enumeration Date : 04/16/2016
Last Update Date : 04/16/2016

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Directions to “UNITY CUSTOM CARE INC. ” Practice Location

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