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Organization
POTENTIAL ON THE RISE LLC
Active
Organization
POTENTIAL ON THE RISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MILLIO (OWNER)
(646) 294-2070
Entity
Organization
Contact information
Practice address
4875 SANTA MONICA BLVD, LOS ANGELES, CA 90029-2633
(646) 294-2070
Mailing address
4875 SANTA MONICA BLVD, LOS ANGELES, CA 90029-2633
(646) 294-2070
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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