Provider Demographics
NPI:1295193225
Name:UPLIFT ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:UPLIFT ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-297-5771
Mailing Address - Street 1:9259B WOOLMARKET RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-8030
Mailing Address - Country:US
Mailing Address - Phone:228-297-5771
Mailing Address - Fax:228-967-7639
Practice Address - Street 1:9259B WOOLMARKET RD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-8030
Practice Address - Country:US
Practice Address - Phone:228-297-5771
Practice Address - Fax:228-967-7639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care