Provider Demographics
NPI:1306607478
Name:UNKNOTYOU LLC
Entity type:Organization
Organization Name:UNKNOTYOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:EWA
Authorized Official - Middle Name:
Authorized Official - Last Name:CZAJKOWSKA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-494-1051
Mailing Address - Street 1:1220 EASTCHESTER DR STE 107
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3105
Mailing Address - Country:US
Mailing Address - Phone:336-307-4032
Mailing Address - Fax:
Practice Address - Street 1:1220 EASTCHESTER DR STE 107
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3105
Practice Address - Country:US
Practice Address - Phone:336-307-4032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service