Organization
UPLIFT SUPPORTED LIVING
Active
Other names
Uplift Supported Living
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA BALLARD (MANAGING MEMBER)
(210) 560-8292
Entity
Organization
Contact information
Practice address
2214 S IVY ST, NAMPA, ID 83686-6189
(210) 560-8292
Mailing address
2214 S IVY ST, NAMPA, ID 83686-6189
(210) 560-8292
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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