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Organization

RISE UP FACILITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKENYA MIMS HORTON (OWNER)
(832) 315-9074
Entity
Organization

Contact information

Practice address
301 HORTON VILLAS, BELZONI, MS 39038-1800
(662) 303-8880
Mailing address
2308 NARUNA LN, LEAGUE CITY, TX 77573-7381

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251K00000X
Public Health or Welfare Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
305R00000X
Preferred Provider Organization
311500000X
Alzheimer Center (Dementia Center)
311ZA0620X
Adult Care Home Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
09/26/2025
Last updated
09/26/2025
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