Organization
UPLIFT HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIEKA B STALLWORTH (CEO)
(513) 805-8138
Entity
Organization
Contact information
Practice address
11204 ALBION ALY, CINCINNATI, OH 45246-3782
(513) 805-8138
Mailing address
11204 ALBION ALY, CINCINNATI, OH 45246-3782
(513) 805-8138
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/04/2024
Last updated
03/18/2024
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