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Organization

UNIQUE 403 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE D LEGETTE CNA (MANAGING MEMBER)
(470) 871-4840
Entity
Organization

Contact information

Practice address
5303 WALKER CT SW, MABLETON, GA 30126-2207
(470) 871-4840
Mailing address
PO BOX 961, MABLETON, GA 30126-0961
(678) 614-5444

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/23/2023
Last updated
02/23/2023
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