33D0959649 CLIA NUMBER - RISING GROUND INC

Laboratory Demographics

CLIA Number: 33D0959649

Facility Name: RISING GROUND INC

Facility Address:
463 HAWTHORNE AVE
YONKERS, NY
ZIP 10705
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Facility Phone Number: 914 375-8847

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1447607817

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0959649
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	RISING GROUND INC
Street	463 HAWTHORNE AVE
City	YONKERS
State	NY
ZIP	10705
Phone	914 375-8847
CertificateType	4
CertificateEffectiveDate	8/2/2005
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024