Provider Demographics
NPI:1639661127
Name:ARISE FORWARD CORP
Entity Type:Organization
Organization Name:ARISE FORWARD CORP
Other - Org Name:ARISE FORWARD CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:G
Authorized Official - Last Name:WASIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-212-3147
Mailing Address - Street 1:2857 CAMELLIA CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3640
Mailing Address - Country:US
Mailing Address - Phone:951-212-3147
Mailing Address - Fax:
Practice Address - Street 1:400 RAMONA AVE STE 212A
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1443
Practice Address - Country:US
Practice Address - Phone:951-212-3147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)