Provider Demographics
NPI:1831192731
Name:ARISE VENTURES, INC.
Entity type:Organization
Organization Name:ARISE VENTURES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:VACHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-230-6348
Mailing Address - Street 1:2907 CLEARWATER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6375
Mailing Address - Country:US
Mailing Address - Phone:320-230-6348
Mailing Address - Fax:320-281-2310
Practice Address - Street 1:2907 CLEARWATER RD STE 200
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-6375
Practice Address - Country:US
Practice Address - Phone:320-230-6348
Practice Address - Fax:320-281-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health