Organization
BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC
Active
Other names
Beautiful Mountain Birth
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE R BLACKETT CPM, LDEM (OWNER/EDUCATION DIRECTOR)
(801) 252-6243
Entity
Organization
Contact information
Practice address
826 E 12300 S STE 2, DRAPER, UT 84020-8276
(801) 252-6243
(801) 892-0788
Mailing address
826 E 12300 S STE 2, DRAPER, UT 84020-8276
(801) 252-6243
(801) 892-0788
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
06/24/2016
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