| NPI | 1164905766 |
|---|---|
| Doing Business As | COMMUNITY BIRTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN LUCKEY President/Midwife 352-357-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |