Healthcare Provider Details
I. General information
NPI: 1487844635
Provider Name (Legal Business Name): BIRTH CARE & FAMILY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1138 GEORGETOWN RD
CHRISTIANA PA
17509-9720
US
IV. Provider business mailing address
PO BOX 152
BART PA
17503-0152
US
V. Phone/Fax
- Phone: 717-786-5506
- Fax: 717-786-5507
- Phone: 717-786-5506
- Fax: 717-786-5507
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MAREN
D
KETCHAM
Title or Position: EXECUTIVE DIRECTOR
Credential: BA
Phone: 717-786-5506