Organization
UNITED COMPREHENSIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARNELL PRINCE (PRESIDENT)
(919) 424-7298
Entity
Organization
Contact information
Practice address
310 W MILLBROOK RD, RALEIGH, NC 27609-4599
(919) 615-2310
Mailing address
310 W MILLBROOK RD, RALEIGH, NC 27609-4599
(919) 615-2310
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008538
—
NC
Enumeration date
06/22/2011
Last updated
06/18/2013
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