Provider Demographics
NPI:1932255734
Name:UPLIFT TRANSPORT SERVICE INC
Entity Type:Organization
Organization Name:UPLIFT TRANSPORT SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURITA
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAGBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-460-0895
Mailing Address - Street 1:1410 CANADIEN GEESE CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-218-5810
Practice Address - Street 1:1410 CANADIEN GEESE CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7062
Practice Address - Country:US
Practice Address - Phone:240-460-0895
Practice Address - Fax:301-218-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)