Organization
BLUEBIRD BIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINCY ROSE (FOUNDER)
(573) 937-9140
Entity
Organization
Contact information
Practice address
1620 SE BROME CIR, LEES SUMMIT, MO 64063-3319
(816) 945-8904
Mailing address
1620 SE BROME CIR, LEES SUMMIT, MO 64063-3319
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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