| NPI | 1457659906 |
|---|---|
| Other Name | HEIRLOOM BIRTH CENTER, LLC |
| Former Legal Business Name | HERITAGE HEALTH AND BIRTH LLC |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN A GERRISH Owner/Manager 907-746-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 176B00000X Midwife |
| 261QB0400X Clinic/Center, Birthing | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2021-11-16 |