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Organization

UNIQUE HOMECARE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALVICIA JACKSON (MANAGER)
(574) 386-0612
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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