Provider Demographics
NPI:1275778458
Name:ARISE RESOURCES INC
Entity Type:Organization
Organization Name:ARISE RESOURCES INC
Other - Org Name:ARISE HOME CARE SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT / BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:TRICIA
Authorized Official - Last Name:LUCY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:313-730-6765
Mailing Address - Street 1:131 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-1246
Mailing Address - Country:US
Mailing Address - Phone:313-820-3699
Mailing Address - Fax:
Practice Address - Street 1:11000 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2357
Practice Address - Country:US
Practice Address - Phone:313-820-3699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MI70057N332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals