Organization
UPLIFTED CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM AKUMA MBA (ADMINISTRATOR)
(612) 978-7620
Entity
Organization
Contact information
Practice address
3340 BROOKDALE DR N, BROOKLYN PARK, MN 55443-2863
(763) 280-3236
(888) 588-3166
Mailing address
3340 BROOKDALE DR N, BROOKLYN PARK, MN 55443-2863
(763) 280-3236
(888) 588-3166
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
379763
MN
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
379763
MN
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
379763
MN
311Z00000X
Custodial Care Facility
379763
MN
311ZA0620X
Adult Care Home Facility
379763
MN
332U00000X
Home Delivered Meals
379763
MN
385H00000X
Respite Care
379763
MN
385HR2050X
Respite Care Camp
379763
MN
385HR2055X
Child Mental Illness Respite Care
379763
MN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
379763
MN
385HR2065X
Child Physical Disabilities Respite Care
379763
MN
Other
Enumeration date
12/15/2016
Last updated
01/07/2019
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