Organization
GENERATIONS HOME BIRTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE JEAN HALL CPM (OWNER)
(208) 569-9733
Entity
Organization
Contact information
Practice address
2650 ROSS AVE, AMMON, ID 83406-7860
(208) 360-2627
(208) 549-7293
Mailing address
2650 ROSS AVE, AMMON, ID 83406-7860
(208) 360-2627
(208) 549-7293
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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