Provider Demographics
NPI:1396397915
Name:RAISING THE GOLDEN RULE LLC
Entity Type:Organization
Organization Name:RAISING THE GOLDEN RULE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, PRENATAL CARE COOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASEANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-588-2671
Mailing Address - Street 1:5125 W FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5125 W FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4342
Practice Address - Country:US
Practice Address - Phone:414-588-2671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-13
Last Update Date:2019-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty