Healthcare Provider Details
I. General information
NPI: 1700217866
Provider Name (Legal Business Name): BETTERBIRTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/27/2013
Last Update Date: 11/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
560 S STATE ST SUITE C1
OREM UT
84058-6354
US
IV. Provider business mailing address
230 W 170 N
OREM UT
84057-4645
US
V. Phone/Fax
- Phone: 801-225-5668
- Fax:
- Phone: 801-225-5668
- Fax: 877-676-8482
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUZANNE
MARIE
SMITH
Title or Position: REGISTERED AGENT
Credential: LDEM
Phone: 801-225-5668