Provider Demographics
NPI:1427388305
Name:RISEUP, LLC
Entity Type:Organization
Organization Name:RISEUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-745-7411
Mailing Address - Street 1:2009 CADILLAC TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1817
Mailing Address - Country:US
Mailing Address - Phone:804-745-7411
Mailing Address - Fax:804-745-7611
Practice Address - Street 1:2009 CADILLAC TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-1817
Practice Address - Country:US
Practice Address - Phone:804-745-7411
Practice Address - Fax:804-745-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities