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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