Provider Demographics
NPI:1336367028
Name:UPLIFT INDUSTRIES, INC. DBA WHEELCHAIR EXPRESS
Entity Type:Organization
Organization Name:UPLIFT INDUSTRIES, INC. DBA WHEELCHAIR EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-353-3500
Mailing Address - Street 1:3289 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-6013
Mailing Address - Country:US
Mailing Address - Phone:901-353-3500
Mailing Address - Fax:901-358-3784
Practice Address - Street 1:3289 THOMAS ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-6013
Practice Address - Country:US
Practice Address - Phone:901-353-3500
Practice Address - Fax:901-358-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNITS0000009707343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT000178Medicaid