Provider Demographics
NPI:1861864399
Name:UPLIFT DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:UPLIFT DEVELOPMENT CORPORATION
Other - Org Name:A UPLIFTING HEALTH AND NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:. RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-868-7219
Mailing Address - Street 1:6636 BELLFORT ST
Mailing Address - Street 2:6636 BELFORT SUITE OFFICE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-6407
Mailing Address - Country:US
Mailing Address - Phone:832-832-8687
Mailing Address - Fax:
Practice Address - Street 1:6636 BELLFORT ST
Practice Address - Street 2:6636 BELFORT SUITE OFFICE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-6407
Practice Address - Country:US
Practice Address - Phone:832-832-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXO15990251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health