Provider Demographics
NPI:1891552998
Name:UPRISING HOMES INC
Entity Type:Organization
Organization Name:UPRISING HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-717-9068
Mailing Address - Street 1:119 PEEL ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2629
Mailing Address - Country:US
Mailing Address - Phone:252-717-9068
Mailing Address - Fax:252-822-0099
Practice Address - Street 1:201 N EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-1403
Practice Address - Country:US
Practice Address - Phone:252-717-9068
Practice Address - Fax:252-822-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness