Organization
CHERISHED BIRTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELENA RUTH SANDIFER CPM, LM (OWNER/ADMINISTRATOR)
(903) 316-8337
Entity
Organization
Contact information
Practice address
215 S VINE AVE, TYLER, TX 75702-7143
(903) 316-8337
(903) 280-7686
Mailing address
PO BOX 351, VAN, TX 75790-0351
(903) 316-8337
(903) 280-7686
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
150050
TX
Other
Enumeration date
12/09/2016
Last updated
05/02/2017
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