MEDICARE: UNISPEC FACILITIES MANAGEMENT, LLC

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1174741169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNISPEC FACILITIES MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	4440 N CIVIC CENTER PLZ
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3513
Country	:	US
Telephone Number	:	480-945-7711
Fax Number	:	480-945-8266

Provider Business Practice Location Address
First Line	:	4440 N CIVIC CENTER PLZ
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3513
Country	:	US
Telephone Number	:	480-945-7711
Fax Number	:	480-945-8266

Authorized Official
Title or Position	:	MANAGER
Name	:	GLENN DE SOUZA
Credential	:
Telephone Number	:	480-945-7711

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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