| Inspire To Rise, Inc. | |
|
5927 Old Timuquana Rd Jacksonville FL 32210 | |
| (844) 937-4731 | |
| (904) 490-8394 |
| Full Name | Inspire To Rise, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 5927 Old Timuquana Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Aida Pantaleon Seeraj (CEO/OWNER) |
| Authorized Official Contact | 8449374731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire To Rise, Inc. 5927 Old Timuquana Rd Jacksonville FL 32210-7889 Ph: (844) 937-4731 | Inspire To Rise, Inc. 5927 Old Timuquana Rd Jacksonville FL 32210 Ph: (844) 937-4731 |
| NPI Number | 1679056857 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/04/2021 |
| Certification Date | 09/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679056857 | NPI | - | NPPES |
| 101215400 | Medicaid | FL | |
| LIC-1047530 | Other | FL | DCF SAMH LICENSE FOR CASE MANAGEMENT |
| LIC-1047532 | Other | FL | DCF SAMH LICENSE FOR GENERAL INTERVENTION |
| LIC-1047531 | Other | FL | DCF SAMH LICENSE FOR OUTPATIENT TREATMENT |
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