Organization
UPLIFT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BLAISE NAHIMANA (CHIEF EXECUTIVE OFFICER)
(207) 440-8012
Entity
Organization
Contact information
Practice address
7606 W PEORIA AVE APT 1085, PEORIA, AZ 85345-5928
(207) 440-8012
Mailing address
7606 W PEORIA AVE APT 1085, PEORIA, AZ 85345-5928
(207) 440-8012
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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