Organization
UNIECL LLC
Active
Other names
UNIEC
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE JUSTICE (CHIEF EXECUTIVE OFFICER)
(408) 728-0829
Entity
Organization
Contact information
Practice address
565 S 5TH ST, SAN JOSE, CA 95112-5647
(408) 728-0829
Mailing address
565 S 5TH ST, SAN JOSE, CA 95112-5647
(408) 728-0829
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/30/2024
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