Organization
UNIQUE EXCEPTIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL M. FULLER (CEO/COMMUNITY SERVICE PROVIDER)
(404) 822-8842
Entity
Organization
Contact information
Practice address
431 W OBISPO AVE, CLEWISTON, FL 33440-4419
(404) 822-8842
Mailing address
PO BOX 724, CLEWISTON, FL 33440-0724
(404) 822-8842
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008996400
—
FL
Enumeration date
06/20/2017
Last updated
03/17/2018
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