# URBAN LEAGUE OF THE UPSTATE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306848551
- **Authorized official:** MRS. SHIRLEY MCDONALD (BILLING COORDINATOR)
- **Authorized official phone:** (864) 322-4117

## Contact information

- **Practice address:** 15 REGENCY HILL DR, GREENVILLE, SC 29607-1230
- **Practice address phone:** (864) 244-3862
- **Practice address fax:** (864) 244-6134
- **Mailing address:** 15 REGENCY HILL DR, GREENVILLE, SC 29607-1230
- **Mailing address phone:** (864) 244-3862
- **Mailing address fax:** (864) 244-6134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 5023 | SC | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MC0041 | — | SC |