Organization Name: | EMBRACE MIDWIFERY & BIRTH CARE, LLC |
NPI Number: | 1033563903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CORINA HOSSLE (OWNER) |
Mailing Address: | 130 Buford Rd North Chesterfield |
State: | VA US |
Postal Code: | 232355204 |
Phone Number: | 8045962229 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2016 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QB0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Birthing |
Taxonomy Definition: |