MEDICARE: UNITY HOME CARE

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	251C00000X	Developmentally Disabled Services Day Training Agency	15349	LA

General Provider Information

NPI Number	:	1295050870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HOME CARE

Provider Business Mailing Address
First Line	:	5204 DESIARD ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-4634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5204 DESIARD ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-4634
Country	:	US
Telephone Number	:	318-737-8479
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELER EDWARDS
Credential	:
Telephone Number	:	318-737-8479

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	04/07/2010

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Directions to “UNITY HOME CARE ” Practice Location

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