Organization
COASTAL FAMILY BIRTH RETREAT, LLC
Active
Organization
COASTAL FAMILY BIRTH RETREAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANN JACQUES RN, CPM, NHCM (OWNER, ADMINISTRATOR)
(603) 580-2327
Entity
Organization
Contact information
Practice address
13 FRYING PAN LN, STRATHAM, NH 03885-2506
(603) 580-2327
(603) 580-2326
Mailing address
13 FRYING PAN LN, STRATHAM, NH 03885-2506
(603) 580-2327
(603) 580-2326
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
1009
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30462658
—
NH
05
—
30464876
—
NH
Enumeration date
03/16/2007
Last updated
08/22/2020
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