Unique Exceptional Services LLC
Preferred Provider Organization in Clewiston, FL. Organization (NPI-2).
NPI number1982124020
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1982124020
- Entity type
- Organization (NPI-2)
- Legal business name
- Unique Exceptional Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Practice location
431 W Obispo AveClewiston, FL 33440-4419
Phone 404-822-8842
Mailing address
Po Box 724Clewiston, FL 33440-0724
Phone 404-822-8842
Other practice locations
431 W Obispo Ave
Clewiston, FL 33440-4419
Clewiston, FL 33440-4419
Authorized official
Rachel M. Fuller
Ceo/Community Service Provider
4048228842
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