| NPI | 1043049745 |
|---|---|
| Doing Business As | LEGACY OF EDEN WOMEN'S HEALTH |
| Doing Business As | LADY JUSTICE - IDAHO |
| Doing Business As | LADY JUSTICE - OREGON |
| Doing Business As | MAMASTE' DOULA'S |
| Doing Business As | BLUE COON QUALITY PET SERVICES |
| Doing Business As | LEGACY OF EDEN BIRTHING SERVICES |
| Doing Business As | A CHILD'S PALACE |
| Doing Business As | CENTRAL OREGON BIRTHING ASSOCIATES (COBA) |
| Entity Type | Organization |
| Authorized Contact | KATHARYN BRANDI LACRE President & CEO 541-977-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 253Z00000X In Home Supportive Care | |
| 333600000X Pharmacy | |
| 251V00000X Voluntary or Charitable | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-06-23 |