Healthcare Provider Details

I. General information

NPI: 1033635412
Provider Name (Legal Business Name): UPLIFT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 FOX ST
PHILADELPHIA PA
19129-1838
US

IV. Provider business mailing address

700 DELSEA DR C/O VICTORIA DELLA ROCCA AND LAUREN VAGUE
WESTVILLE NJ
08093-1229
US

V. Phone/Fax

Practice location:
  • Phone: 856-473-5999
  • Fax:
Mailing address:
  • Phone: 856-471-2008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA DELLA ROCCA
Title or Position: DIRECTOR OF HEALTH SOLUTIONS
Credential: RD, LDN
Phone: 215-307-5165