Provider Demographics
NPI:1154199735
Name:RISE AND BLOSSOM PERINATAL, LLC
Entity type:Organization
Organization Name:RISE AND BLOSSOM PERINATAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE OF THE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMEK
Authorized Official - Suffix:
Authorized Official - Credentials:CPD
Authorized Official - Phone:401-533-1694
Mailing Address - Street 1:269 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:RI
Mailing Address - Zip Code:02822-5016
Mailing Address - Country:US
Mailing Address - Phone:401-533-1694
Mailing Address - Fax:
Practice Address - Street 1:269 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:RI
Practice Address - Zip Code:02822-5016
Practice Address - Country:US
Practice Address - Phone:401-533-1694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty