# ARISE & SHINE HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942824750
- **Authorized official:** VIVIAN TANTOH NP (PRESIDENT)
- **Authorized official phone:** (443) 466-1476

## Contact information

- **Practice address:** 14 WELLHAM AVE NW, GLEN BURNIE, MD 21061-2200
- **Practice address phone:** (443) 209-7100
- **Practice address fax:** (443) 557-0810
- **Mailing address:** 14 WELLHAM AVE NW, GLEN BURNIE, MD 21061-2200
- **Mailing address phone:** (443) 209-7100
- **Mailing address fax:** (443) 557-0810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 08/18/2026
