| Organization Name: | LIFT AIDS, INC. |
| NPI Number: | 1104254796 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE LEE STAUFFER (PRESIDENT) |
| Mailing Address: | 1500 Westpark Way Euless |
| State: | TX US |
| Postal Code: | 760406736 |
| Phone Number: | 8178350035 |
| Fax Number: | 8178350096 |
| NPI Enumeration Date: | 10/17/2013 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |