Organization · NPI-2

Arise & Shine Health Center LLC

Clinic/Center · Glen Burnie, MD

NPI number1942089800
StatusActive
Last updated in NPPESAug 18, 2026

Details

NPI
1942089800
Entity type
Organization (NPI-2)
Legal business name
Arise & Shine Health Center LLC
Organization subpart
No
Enumeration date
Sep 28, 2023
Certification date
Aug 18, 2026
Last updated
Aug 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

14 Wellham Ave Nw
Glen Burnie, MD 21061-2200

Phone 443-374-5044 · Fax 443-557-0810

Mailing address

14 Wellham Ave Nw
Glen Burnie, MD 21061-2200

Phone 443-374-5044 · Fax 443-557-0810

Authorized official

Vivian Ndombi Tantoh
Ceo
4434661476

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