MEDICARE: IUNIQUE TRANSPORT SERVICES AND 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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1851911382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IUNIQUE TRANSPORT SERVICES AND SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	5501 EXECUTIVE CENTER DR STE 241
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-8823
Country	:	US
Telephone Number	:	704-891-1994
Fax Number	:	980-819-9259

Provider Business Practice Location Address
First Line	:	5501 EXECUTIVE CENTER DR STE 241
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-8823
Country	:	US
Telephone Number	:	704-891-1994
Fax Number	:	980-819-9259

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OKECHUKWU EKE IKE
Credential	:
Telephone Number	:	704-891-1994

Provider Enumeration Date	:	04/24/2020
Last Update Date	:	08/10/2020

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