Your Home Birth LLC

NPI #1275828204 in Rockford, Michigan

Provider Information

NPI Number: 1275828204
Entity Type: Organization
Organization Name: Your Home Birth LLC
Primary Specialty: Midwife
Enumeration Date: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 120 E DIVISION ST
City: Rockford
State: Michigan
ZIP Code: 49341-1206
Phone: (616) 295-1128

Authorized Official

Name: SHANNON PAWSON, CPM
Title: MIDWIFE
Phone: (616) 295-1128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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