| Organization Name: | MOTHER'S OWN BIRTH AND WOMEN'S CENTER, LLC |
| NPI Number: | 1073718607 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA R. JOHNSON (OWNER) |
| Mailing Address: | 1715 W Dean Rd Suite C Temperance |
| State: | MI US |
| Postal Code: | 481829406 |
| Phone Number: | 7348478100 |
| Fax Number: | 7348476824 |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| 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: | |