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NPI Code Detail

MEDICARE: BE WELL BIRTH WELL BIRTH SERVICES

MEDICARE: BE WELL BIRTH WELL BIRTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula20141054740CO

General Provider Information

NPI Number : 1558784678
Entity Type Code : Organization
Provider Name (Legal Business Name) : BE WELL BIRTH WELL BIRTH SERVICES
Provider Business Mailing Address
First Line : 20210 PHOEBE GRV
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-1176
Country : US
Telephone Number : 719-229-3556
Fax Number :
Provider Business Practice Location Address
First Line : 20210 PHOEBE GRV
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-1176
Country : US
Telephone Number : 719-229-3556
Fax Number :
Authorized Official
Title or Position : OWNER/LABOR DOULA
Name : JENNIFER LEONARD
Credential : CLD
Telephone Number : 719-233-4042
Provider Enumeration Date : 01/24/2014
Last Update Date : 01/24/2014

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Directions to “BE WELL BIRTH WELL BIRTH SERVICES ” Practice Location

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