Organization
UPRISING HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA DAMERON (OWNER CEO)
(252) 794-5234
Entity
Organization
Contact information
Practice address
138 CONNARISTA RD, KELFORD, NC 27847-9600
(252) 794-5234
Mailing address
1101 S KING ST, WINDSOR, NC 27983-9660
(252) 794-5234
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
04/15/2014
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