Provider Demographics
NPI:1033635412
Name:UPLIFT SOLUTIONS
Entity Type:Organization
Organization Name:UPLIFT SOLUTIONS
Other - Org Name:UPLIFT HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HEALTH SOLUTIONS
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLA ROCCA
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:215-307-5165
Mailing Address - Street 1:700 DELSEA DR
Mailing Address - Street 2:C/O VICTORIA DELLA ROCCA AND LAUREN VAGUE
Mailing Address - City:WESTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08093-1229
Mailing Address - Country:US
Mailing Address - Phone:856-471-2008
Mailing Address - Fax:
Practice Address - Street 1:2800 FOX ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1838
Practice Address - Country:US
Practice Address - Phone:856-473-5999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty