Organization
MIDWIFE GRACE, LLC
Active
Other names
Grace Midwifery Collective
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE JACKSON CPM (CLINICAL DIRECTOR/OWNER)
(985) 773-0449
Entity
Organization
Contact information
Practice address
340 BRAKEFIELD ST, SLIDELL, LA 70458-3620
(985) 265-4032
(985) 202-4597
Mailing address
340 BRAKEFIELD ST, SLIDELL, LA 70458-3620
(985) 265-4032
(985) 202-4597
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
04/12/2024
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