| The Upliftco Limited | |
|
9627 Grapeland Ave Las Vegas NV 89148-4206 | |
| (702) 738-3185 | |
| Not Available |
| Full Name | The Upliftco Limited |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9627 Grapeland Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Reese Lamounte Thomas-mcdade (OWNER) |
| Authorized Official Contact | 7027383185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Upliftco Limited 9627 Grapeland Ave Las Vegas NV 89148-4206 Ph: (702) 738-3185 | The Upliftco Limited 9627 Grapeland Ave Las Vegas NV 89148-4206 Ph: (702) 738-3185 |
| NPI Number | 1063166775 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063166775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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