Organization
HOLY FAMILY PRENATAL CARE, LLC
Active
Organization
HOLY FAMILY PRENATAL CARE, LLC
Active
Parent organization
ELIZABETH'S NEW LIFE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELIZABETH'S NEW LIFE CENTER INC
Authorized official
MRS. VIVIAN KOOB (EXECUTIVE DIRECTOR)
(937) 226-7414
Entity
Organization
Contact information
Practice address
359 FOREST AVE STE 202, DAYTON, OH 45405-4559
(937) 228-4492
(937) 228-4495
Mailing address
359 FOREST AVE STE 202, DAYTON, OH 45405-4559
(937) 228-4492
(937) 228-4495
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2414284
—
OH
Enumeration date
03/12/2007
Last updated
03/05/2014
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