Provider Demographics
NPI:1962729996
Name:UPTURNCARE, CO.
Entity type:Organization
Organization Name:UPTURNCARE, CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-898-1424
Mailing Address - Street 1:803 FOREST RIDGE DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-7295
Mailing Address - Country:US
Mailing Address - Phone:817-898-1424
Mailing Address - Fax:817-900-8731
Practice Address - Street 1:803 FOREST RIDGE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-7295
Practice Address - Country:US
Practice Address - Phone:817-898-1424
Practice Address - Fax:817-900-8731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health