Organization
RISE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM HAGLUND (CFO)
(763) 783-2817
Entity
Organization
Contact information
Practice address
6499 UNIVERSITY AVE NE STE 200, FRIDLEY, MN 55432-4303
(763) 786-8334
(763) 786-0008
Mailing address
6499 UNIVERSITY AVE NE STE 200, FRIDLEY, MN 55432-4303
(763) 786-8334
(763) 786-0008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690950700
—
MN
Enumeration date
03/13/2007
Last updated
08/08/2024
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