Provider Demographics
NPI:1992483523
Name:UNIQUE PRIVATE DUTY LLC
Entity type:Organization
Organization Name:UNIQUE PRIVATE DUTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ZULFIYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TURANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-522-2580
Mailing Address - Street 1:32985 HAMILTON CT STE 100B
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3353
Mailing Address - Country:US
Mailing Address - Phone:248-971-3146
Mailing Address - Fax:855-229-7794
Practice Address - Street 1:32985 HAMILTON CT STE 100B
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3353
Practice Address - Country:US
Practice Address - Phone:248-971-3146
Practice Address - Fax:855-229-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care