Healthcare Provider Details

I. General information

NPI: 1558278598
Provider Name (Legal Business Name): RISE AND SHINE BABY OF MINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 N DR MARTIN LUTHER KING JR DR
MILWAUKEE WI
53212-3675
US

IV. Provider business mailing address

1103 W GARFIELD AVE
MILWAUKEE WI
53205-1324
US

V. Phone/Fax

Practice location:
  • Phone: 414-372-6692
  • Fax:
Mailing address:
  • Phone: 414-372-6692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DEA WRIGHT
Title or Position: OWNER
Credential: AAS, BS, MAT
Phone: 414-372-6692