Organization
RH ARISE VENTURE OF TUPELO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KATHRYN WAKEFORD (ENTERPRISE CFO)
(205) 901-5103
Entity
Organization
Contact information
Practice address
777 HOLLY HILL DR, TUPELO, MS 38801-2340
(662) 432-1221
Mailing address
PO BOX 7058, TUPELO, MS 38802-7058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
10/16/2025
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