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Organization
UPRISING HOMES
Active
Organization
UPRISING HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA DAMERON (OWNER/CEO)
(252) 794-5234
Entity
Organization
Contact information
Practice address
1101 S KING ST, WINDSOR, NC 27983-9660
(252) 794-5234
Mailing address
1101 SOUTH KING STREET, WINDSOR, NC 27983-9660
(252) 794-5234
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418088
—
NC
Enumeration date
09/23/2009
Last updated
09/23/2009
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