Organization
THE UPPER GROUP INC.
Active
Other names
zone free
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS TAYLOR OTHER (OWNER)
(704) 839-3716
Entity
Organization
Contact information
Practice address
6017 HIGHWAY 74 WEST BLVD., PO.111, MARSHVILLE, NC 28103
(704) 839-3716
(704) 225-9988
Mailing address
6017 HWY 74WEST MARSHVILLE BLV., MARSHVILLE, NC 28103
(704) 839-3716
(704) 225-9988
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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