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NPI Code Detail

MEDICARE: PEACEFUL BIRTH COMPANY, LLC

MEDICARE: PEACEFUL BIRTH COMPANY, LLC
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
1374J00000XDoula

General Provider Information

NPI Number : 1932943560
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACEFUL BIRTH COMPANY, LLC
Provider Business Mailing Address
First Line : 1419 RIVERSIDE AVE STE C
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4377
Country : US
Telephone Number : 970-821-5728
Fax Number :
Provider Business Practice Location Address
First Line : 1419 RIVERSIDE AVE STE C
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4377
Country : US
Telephone Number : 970-821-5728
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATY IENGO
Credential : CRD
Telephone Number : 970-821-5728
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/19/2024

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Directions to “PEACEFUL BIRTH COMPANY, LLC ” Practice Location

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