NPI | 1215100060 |
---|---|
Doing Business As | POPLAR HEIGHTS BIRTH CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN MICHAEL DECKER Manager 360-329-6431 |
Organization Subpart ? | No |
Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
Enumeration Date | 2008-04-11 |
Last Update Date | 2008-04-11 |