Organization
BIRTH THROUGH LIFE INTERVENTIONS SUPPORTS & SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL BAUCUM (OWNER)
(804) 404-8891
Entity
Organization
Contact information
Practice address
1905 SUNNYSIDE AVE, HOPEWELL, VA 23860-7124
(804) 404-8891
Mailing address
1905 SUNNYSIDE AVE, HOPEWELL, VA 23860-7124
(804) 404-8891
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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