NPI | 1194226654 |
---|---|
Former Legal Business Name | HERITAGE BIRTHS |
Entity Type | Organization |
Authorized Contact | ALEXANDRA WYATT Owner 818-421-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: TX 99178) |
Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: TX 150068) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2020-11-02 |