Organization
ONE FAMILY, LLC
Active
Parent organization
MOTHER'S HEARTH, LLC
Other names
One Family Birth Center & women's wellness clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOTHER'S HEARTH, LLC
Authorized official
MRS. SHAUNA B TIESZEN (ADMINISTRATOR)
(907) 250-1944
Entity
Organization
Contact information
Practice address
1108 E NORTHERN LIGHTS BLVD, STE C, ANCHORAGE, AK 99508-4219
(907) 349-3054
(907) 349-3056
Mailing address
PO BOX 112381, ANCHORAGE, AK 99511-2381
(907) 349-3054
(907) 349-3056
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
ONF02030000001
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ONF02030000001
STATE LICENSE FACILTY ID
AK
Enumeration date
04/27/2008
Last updated
04/27/2008
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