Provider Demographics
NPI:1174092696
Name:UNCONDITIONAL CARE SENIOR SERVICES
Entity type:Organization
Organization Name:UNCONDITIONAL CARE SENIOR SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:919-527-4042
Mailing Address - Street 1:6531 PACES ARBOR CIR APT 333
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-2818
Mailing Address - Country:US
Mailing Address - Phone:919-527-4042
Mailing Address - Fax:
Practice Address - Street 1:106 EATON FERRY RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:NC
Practice Address - Zip Code:27551-9099
Practice Address - Country:US
Practice Address - Phone:919-527-4042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty