Healthcare Provider Details

I. General information

NPI: 1275778458
Provider Name (Legal Business Name): ARISE RESOURCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 W MCNICHOLS RD
DETROIT MI
48221-2357
US

IV. Provider business mailing address

131 ARLINGTON ST
INKSTER MI
48141-1246
US

V. Phone/Fax

Practice location:
  • Phone: 313-820-3699
  • Fax:
Mailing address:
  • Phone: 313-820-3699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number70057N
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PHYLLIS TRICIA LUCY
Title or Position: PRESIDENT / BUSINESS ADMINISTRATOR
Credential: BS
Phone: 313-730-6765