Organization
YOUR HOME BIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PAWSON CPM (MIDWIFE)
(616) 295-1128
Entity
Organization
Contact information
Practice address
120 E DIVISION ST, ROCKFORD, MI 49341-1206
(616) 295-1128
Mailing address
120 E DIVISION ST, ROCKFORD, MI 49341-1206
(616) 295-1128
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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