Uniecl LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Jose, CA. Organization (NPI-2).
NPI number1801620331
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1801620331
- Entity type
- Organization (NPI-2)
- Legal business name
- Uniecl LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Uniec (Doing Business As)
Practice location
565 S 5th StSan Jose, CA 95112-5647
Phone 408-728-0829
Mailing address
565 S 5th StSan Jose, CA 95112-5647
Phone 408-728-0829
Authorized official
Deandre Justice
Chief Executive Officer
4087280829
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