Provider Demographics
NPI:1285180067
Name:FROM THE GROUND UP INC
Entity Type:Organization
Organization Name:FROM THE GROUND UP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:904-338-1259
Mailing Address - Street 1:P O BOX 2384
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32203
Mailing Address - Country:US
Mailing Address - Phone:904-338-1259
Mailing Address - Fax:904-212-2509
Practice Address - Street 1:7528 ARLINGTON EXPRESSWAY UNIT 313
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32203
Practice Address - Country:US
Practice Address - Phone:904-338-1259
Practice Address - Fax:904-212-2509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management