MEDICARE: UNIFIED HEALTH CARE SERVICE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251T00000X	PACE Provider Organization
4	252Y00000X	Early Intervention Provider Agency
5	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1376802116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED HEALTH CARE SERVICE INC

Provider Business Mailing Address
First Line	:	1532 MANCHESTER DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-6650
Country	:	US
Telephone Number	:	252-412-0792
Fax Number	:

Provider Business Practice Location Address
First Line	:	3094 SUNSET AVE
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-3647
Country	:	US
Telephone Number	:	252-412-0792
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES RICHARD BLANGO JR.
Credential	:
Telephone Number	:	252-412-0792

Provider Enumeration Date	:	05/14/2012
Last Update Date	:	05/14/2012

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Directions to “UNIFIED HEALTH CARE SERVICE INC ” Practice Location

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