NPI 1982124020

Unique Exceptional Services LLC

Organisation Preferred Provider Organization Clewiston, FL

Practice location

Address: 431 W Obispo Ave, Clewiston, FL 33440-4419
Phone: (404) 822-8842
Mailing address: PO Box 724, Clewiston, FL 33440-0724

Authorised official

Name: Rachel M. Fuller
Title: Ceo/Community Service Provider
Phone: (404) 822-8842

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1982124020
Entity type: Organization
NPI issued: 20 Jun 2017
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.