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Organization

UPLIFT 100 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PA MUSA NYANG (OPERATIONS)
(914) 671-3855
Entity
Organization

Contact information

Practice address
5212 VILLAGE CREEK DR # A, PLANO, TX 75093-5066
(972) 773-9610
(972) 863-9686
Mailing address
2365 APOLLO ST, 924, GARLAND, TX 75044-6332
(914) 671-3855

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
385H00000X
Respite Care

Other

Enumeration date
10/22/2021
Last updated
04/02/2026
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