Healthcare Provider Details

I. General information

NPI: 1104381862
Provider Name (Legal Business Name): FAMILIES IN BLOOM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 JOVAL CT
FRANKLIN MA
02038-2717
US

IV. Provider business mailing address

9 JOVAL CT
FRANKLIN MA
02038-2717
US

V. Phone/Fax

Practice location:
  • Phone: 603-548-8897
  • Fax:
Mailing address:
  • Phone: 603-548-8897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: LAUREN A MCVEIGH
Title or Position: CONSULTANT
Credential: RN, IBCLC
Phone: 603-548-8897