Organization
UNIQUE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH MARIE GANT (DIRECTOR)
(314) 428-6643
Entity
Organization
Contact information
Practice address
9533 LACKLAND RD, SAINT LOUIS, MO 63114-3602
(314) 428-6643
Mailing address
9533 LACKLAND RD, SAINT LOUIS, MO 63114-3602
(314) 428-6643
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MO
374U00000X
Home Health Aide
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263945701
—
MO
05
—
283945707
—
MO
Enumeration date
05/25/2007
Last updated
05/02/2008
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