Provider Demographics
NPI:1053685685
Name:RISE, INC
Entity Type:Organization
Organization Name:RISE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY SERVICE BROKER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:TODHUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-717-2399
Mailing Address - Street 1:1358 W BUSINESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-2203
Mailing Address - Country:US
Mailing Address - Phone:801-373-1197
Mailing Address - Fax:801-373-1198
Practice Address - Street 1:1358 W BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-2203
Practice Address - Country:US
Practice Address - Phone:801-373-1197
Practice Address - Fax:801-373-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management