# DARLEEN UNIQUE PROVIDER SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710330550
- **Authorized official:** DARLENE DESSOURCES (PROVIDER)
- **Authorized official phone:** (954) 655-9682

## Contact information

- **Practice address:** 681 SW FREDRICA ST, PORT SAINT LUCIE, FL 34983-1875
- **Practice address phone:** (954) 655-9682
- **Mailing address:** 681 SW FREDRICA ST, PORT SAINT LUCIE, FL 34983-1875
- **Mailing address phone:** (954) 655-9682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 07/17/2016
- **Last updated:** 08/04/2021
