Organization
RAISE ONE LLC
Active
Organization
RAISE ONE LLC
Active
Other names
Raise One LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ARNETT FAULCON (OWNER)
(803) 620-1744
Entity
Organization
Contact information
Practice address
2616 IVEY WOOD LN, MATTHEWS, NC 28105-4158
(803) 620-1744
Mailing address
2616 IVEY WOOD LN, MATTHEWS, NC 28105-4158
(803) 620-1744
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40446178
—
NC
Enumeration date
01/29/2024
Last updated
01/29/2024
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