# POTENTIAL ON THE RISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497523294
- **Authorized official:** THERESA MILLIO (OWNER)
- **Authorized official phone:** (646) 294-2070

## Contact information

- **Practice address:** 4875 SANTA MONICA BLVD, LOS ANGELES, CA 90029-2633
- **Practice address phone:** (646) 294-2070
- **Mailing address:** 4875 SANTA MONICA BLVD, LOS ANGELES, CA 90029-2633
- **Mailing address phone:** (646) 294-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023