NPI 1588492649
Uplift Supported Living
Practice location
- Address
- 2214 S Ivy St, Nampa, ID 83686-6189
- Phone
- (210) 560-8292
Authorised official
- Name
- Erika Ballard
- Title
- Managing Member
- Phone
- (210) 560-8292
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1588492649
- Entity type
- Organization
- NPI issued
- 22 Jul 2024
- Record last updated
- 22 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.