| Rise Services Llc | |
|
11357 Nuckois Road Suite 2043 Glen Allen VA 23059 | |
| (540) 418-1020 | |
| (703) 214-8239 |
| Full Name | Rise Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11357 Nuckois Road, Glen Allen, Virginia |
| Authorized Official Name and Position | Barbara Elizabeth Tate (OWNER) |
| Authorized Official Contact | 5404181020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Services Llc 11357 Nuckois Road Suite 2043 Glen Allen VA 23059 Ph: (540) 418-1020 | Rise Services Llc 11357 Nuckois Road Suite 2043 Glen Allen VA 23059 Ph: (540) 418-1020 |
| NPI Number | 1538704770 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538704770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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