Organization
MOUNTAIN HOME BIRTH & MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY MARIA CRANFORD CPM MSM (OWNER)
(256) 330-7008
Entity
Organization
Contact information
Practice address
1949 GAULT AVE N STE 104, FORT PAYNE, AL 35967-3483
(256) 330-7008
(706) 984-5395
Mailing address
1825 GLENN BLVD SW # 166, FORT PAYNE, AL 35968-3533
(256) 330-7008
(706) 984-5395
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
05/20/2023
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