Healthcare Provider Details
I. General information
NPI: 1154256428
Provider Name (Legal Business Name): SACRED WOMB FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
416 WILLIAMS ST STE 220
MILFORD DE
19963-2012
US
IV. Provider business mailing address
416 WILLIAMS ST STE 220
MILFORD DE
19963-2012
US
V. Phone/Fax
- Phone: 302-603-5466
- Fax:
- Phone: 302-603-5466
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIAMOND
GREATHOUSE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 302-603-5466