Organization
THE RISING MAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LYNNETTE JANAE RODNEY (EXECUTIVE DIRECTOR)
(443) 682-3669
Entity
Organization
Contact information
Practice address
1101 W PRATT ST, BALTIMORE, MD 21223-2693
(443) 682-3669
Mailing address
1101 W PRATT ST, BALTIMORE, MD 21223-2693
(443) 682-3669
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4647168
—
MD
Enumeration date
06/01/2022
Last updated
06/01/2022
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