Organization
PRIVATE HEALTHCARE FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA LEWIS (ADMIN)
(800) 341-8598
Entity
Organization
Contact information
Practice address
613 KINGWOOD ST, BRAINERD, MN 56401-3405
(866) 996-2340
(888) 329-2091
Mailing address
902 KITTY HAWK RD # 170487, UNIVERSAL CITY, TX 78148-3825
(866) 996-2340
(888) 329-2091
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
12/22/2024
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