# UPRISING HOME INC.

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

## Provider details

- **NPI number:** 1790999696
- **Authorized official:** MRS. BRENDA DAMERON (OWNER CEO)
- **Authorized official phone:** (252) 794-5234

## Contact information

- **Practice address:** 138 CONNARISTA RD, KELFORD, NC 27847-9600
- **Practice address phone:** (252) 794-5234
- **Mailing address:** 1101 S KING ST, WINDSOR, NC 27983-9660
- **Mailing address phone:** (252) 794-5234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 04/15/2014