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Organization
RISE RESIDENTIAL SERVICES
Active
Organization
RISE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT FAUSZ (ADMINITRATOR)
(804) 405-5443
Entity
Organization
Contact information
Practice address
6411 LICKING CREEK DR, CHESTERFIELD, VA 23832-7435
(804) 918-0502
Mailing address
6411 LICKING CREEK DR, CHESTERFIELD, VA 23832-7435
(804) 918-0502
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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