Organization
RISE BEYOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIF A JALIL CNA (OWNER)
(904) 217-2787
Entity
Organization
Contact information
Practice address
2925 N 7TH ST LOT 11, ST AUGUSTINE, FL 32084-1860
(904) 673-4064
Mailing address
2925 N 7TH ST LOT 11, ST AUGUSTINE, FL 32084-1860
(904) 673-4064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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