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NPI Code Detail

MEDICARE: TALLAHASSEE BIRTH COTTAGE, LLC

MEDICARE: TALLAHASSEE BIRTH COTTAGE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QB0400XBirthing Clinic/Center336FL

General Provider Information

NPI Number : 1528552551
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALLAHASSEE BIRTH COTTAGE, LLC
Provider Business Mailing Address
First Line : 260 E 6TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6208
Country : US
Telephone Number : 850-224-2229
Fax Number : 850-681-6969
Provider Business Practice Location Address
First Line : 260 E 6TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6208
Country : US
Telephone Number : 850-224-2229
Fax Number : 850-681-6969
Authorized Official
Title or Position : OWNER
Name : LAYLA M SWISHER
Credential : LM
Telephone Number : 850-224-2229
Provider Enumeration Date : 06/22/2018
Last Update Date : 06/22/2018

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Directions to “TALLAHASSEE BIRTH COTTAGE, LLC ” Practice Location

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