# CRC UNIQUE

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

## Provider details

- **NPI number:** 1992609283
- **Authorized official:** CINDY HICKS LPN (MANAGER)
- **Authorized official phone:** (561) 485-5352

## Contact information

- **Practice address:** 922 SE DAMASK AVE, PORT SAINT LUCIE, FL 34983-4013
- **Practice address phone:** (561) 485-5352
- **Mailing address:** 922 SE DAMASK AVE, PORT SAINT LUCIE, FL 34983-4013
- **Mailing address phone:** (561) 485-5352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 332H00000X | Eyewear Supplier | — | NULL | — |
| 332S00000X | Hearing Aid Equipment | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 10/08/2026
- **Last updated:** 10/08/2026