| 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 |