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NPI Code Detail

MEDICARE: UPBUILD SERVICES INC

MEDICARE: UPBUILD SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1356237614
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPBUILD SERVICES INC
Provider Business Mailing Address
First Line : 5870 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2861
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5870 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2861
Country : US
Telephone Number : 614-717-8633
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DANTE HARRISON
Credential : DO
Telephone Number : 614-717-8633
Provider Enumeration Date : 06/14/2025
Last Update Date : 06/14/2025

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Directions to “UPBUILD SERVICES INC ” Practice Location

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