# RISE ABOVE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891090924
- **Authorized official:** MR. HUBERT NSONA NGABU I (OWNER)
- **Authorized official phone:** (505) 261-7416

## Contact information

- **Practice address:** 12744 TOMLINSON DR SE, 12744 TOMLINSON DR SE, ALBUQUERQUE, NM 87123-3716
- **Practice address phone:** (505) 261-7416
- **Practice address fax:** (505) 298-2858
- **Mailing address:** 12744 TOMLINSON DR SE, ALBUQUERQUE, NM 87123-3716
- **Mailing address phone:** (505) 261-7416
- **Mailing address fax:** (505) 298-2858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2011
- **Last updated:** 01/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 78307716 | — | NM |