Healthcare Provider Details

I. General information

NPI: 1730009085
Provider Name (Legal Business Name): IBILOLA BIRTH RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 N 33RD ST
MILWAUKEE WI
53208-3819
US

IV. Provider business mailing address

510 N 33RD ST
MILWAUKEE WI
53208-3819
US

V. Phone/Fax

Practice location:
  • Phone: 414-914-0152
  • Fax:
Mailing address:
  • Phone: 414-914-0152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEANYA LAKESHA ROBINSON
Title or Position: OWNER/DOULA
Credential: MHS,DOULA
Phone: 414-914-0152