Organization
UPRISING HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA VEALE DAMERON (CEO)
(252) 794-5234
Entity
Organization
Contact information
Practice address
814 GOVERNORS RD, WINDSOR, NC 27983-7650
(252) 794-5234
Mailing address
814 GOVERNORS RD, WINDSOR, NC 27983-7650
(252) 794-5234
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL008024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418088
—
NC
05
—
6603575
—
NC
05
—
8301114
—
NC
Enumeration date
01/05/2007
Last updated
08/22/2020
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