Provider Demographics
NPI:1174328934
Name:UNIQUE TRAVEL ACCOMMODATION & HOUSING LLC
Entity type:Organization
Organization Name:UNIQUE TRAVEL ACCOMMODATION & HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:ROSELINE PIERRE
Authorized Official - Phone:602-800-3992
Mailing Address - Street 1:15411 W. WADDELL RD
Mailing Address - Street 2:STE.102/ #1263
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379
Mailing Address - Country:US
Mailing Address - Phone:602-800-3992
Mailing Address - Fax:
Practice Address - Street 1:16104 W.WOODLANDS AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9514
Practice Address - Country:US
Practice Address - Phone:602-800-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No177F00000XOther Service ProvidersLodging
No251S00000XAgenciesCommunity/Behavioral Health
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit