Organization
UNIQUE PLUS HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEARA JOHNSON (CEO)
(910) 483-7199
Entity
Organization
Contact information
Practice address
2504 RAEFORD RD, SUITE 205, FAYETTEVILLE, NC 28305-5294
(910) 483-7199
(910) 401-1265
Mailing address
2504 RAEFORD RD, SUITE 205, FAYETTEVILLE, NC 28305-5294
(910) 483-7199
(910) 401-1265
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66601888
—
NC
Enumeration date
04/14/2015
Last updated
04/14/2015
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