Provider Demographics
NPI:1134998594
Name:UNIQUE FAMILY CARE INC
Entity type:Organization
Organization Name:UNIQUE FAMILY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADONIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOKOM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:202-277-0497
Mailing Address - Street 1:3287 FORT LINCOLN DR NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4316
Mailing Address - Country:US
Mailing Address - Phone:202-277-0497
Mailing Address - Fax:
Practice Address - Street 1:3287 FORT LINCOLN DR NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4316
Practice Address - Country:US
Practice Address - Phone:202-277-0497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities