MEDICARE: UNIFIED SOLUTIONS 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1841588910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2821 SUNNYFIELD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 SUNNYFIELD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-3100
Country	:	US
Telephone Number	:	317-674-6282
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	AMANDA CUMMINGS
Credential	:
Telephone Number	:	317-674-6282

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	07/11/2011

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Directions to “UNIFIED SOLUTIONS LLC ” Practice Location

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