# UNIQUE HOMECARE SERVICE

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

## Provider details

- **NPI number:** 1780522805
- **Authorized official:** ALVICIA JACKSON (MANAGER)
- **Authorized official phone:** (574) 386-0612

## Contact information

- **Practice address:** 1009 ALLEN ST, SOUTH BEND, IN 46616-1435
- **Practice address phone:** (574) 386-0612
- **Mailing address:** 1009 ALLEN ST, SOUTH BEND, IN 46616-1435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2026
- **Last updated:** 03/23/2026
