Organization
UPLIFT ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYLANDA JOHNSON (CEO)
(508) 301-3444
Entity
Organization
Contact information
Practice address
1717 MAIN ST, BROCKTON, MA 02301-7134
(508) 301-3444
(617) 583-1102
Mailing address
1717 MAIN ST, BROCKTON, MA 02301-7134
(508) 301-3444
(617) 583-1102
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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