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Organization
UNIFIED HEALTH CARE SERVICE INC
Active
Organization
UNIFIED HEALTH CARE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARD BLANGO JR. (OWNER)
(252) 412-0792
Entity
Organization
Contact information
Practice address
3094 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
(252) 412-0792
Mailing address
1532 MANCHESTER DR, GREENVILLE, NC 27834-6650
(252) 412-0792
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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