Healthcare Provider Details

I. General information

NPI: 1093009201
Provider Name (Legal Business Name): BATHED - N - BLESSINGS LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5956 N ELYRIA RD
WEST SALEM OH
44287-9071
US

IV. Provider business mailing address

5956 N ELYRIA RD
WEST SALEM OH
44287-9071
US

V. Phone/Fax

Practice location:
  • Phone: 330-466-2851
  • Fax:
Mailing address:
  • Phone: 330-466-2851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: SARAH WEAVER
Title or Position: MIDWIFE
Credential:
Phone: 330-466-2851