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Organization
ARISE & SHINE HEALTH CENTER LLC
Active
Organization
ARISE & SHINE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN TANTOH NP (PRESIDENT)
(443) 466-1476
Entity
Organization
Contact information
Practice address
14 WELLHAM AVE NW, GLEN BURNIE, MD 21061-2200
(443) 209-7100
(443) 557-0810
Mailing address
14 WELLHAM AVE NW, GLEN BURNIE, MD 21061-2200
(443) 209-7100
(443) 557-0810
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
08/18/2026
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