Organization · NPI-2

Arise Support Services LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Denver, CO

NPI number1144811357
StatusActive
Last updated in NPPESMar 5, 2022

Details

NPI
1144811357
Entity type
Organization (NPI-2)
Legal business name
Arise Support Services LLC
Organization subpart
No
Enumeration date
Jan 30, 2021
Certification date
Mar 5, 2022
Last updated
Mar 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
251C00000X Day Training, Developmentally Disabled Services––

Practice location

19557 E 39th Ave
Denver, CO 80249-7347

Phone 720-400-2706

Mailing address

19557 E 39th Ave
Denver, CO 80249-7347

Phone 720-400-2706

Authorized official

Adesoji Ajala
Owner
7204002706

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