Healthcare Provider Details

I. General information

NPI: 1063293918
Provider Name (Legal Business Name): RISE SENIOR AND FAMILY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 N STEWART AVE STE A
SPRINGFIELD MO
65802-2239
US

IV. Provider business mailing address

1331 N STEWART AVE STE A
SPRINGFIELD MO
65802-2239
US

V. Phone/Fax

Practice location:
  • Phone: 417-943-4140
  • Fax:
Mailing address:
  • Phone: 417-943-4140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA TROUTMAN
Title or Position: FOUNDER AND CEO
Credential:
Phone: 417-593-2789