Organization
RISE ABOVE RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE WALLER (OWNER)
(804) 988-3977
Entity
Organization
Contact information
Practice address
4012 HARROW DR, CHESTER, VA 23831-7163
(804) 988-3977
Mailing address
4012 HARROW DR, CHESTER, VA 23831-7163
(804) 988-3977
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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