Organization
MAPLE STREET BIRTH HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LEA SIMMONS LM (PRESIDENT)
(253) 318-9484
Entity
Organization
Contact information
Practice address
435 MAPLE STREET, OMAK, WA 98841-9884
(253) 318-9484
(509) 651-4121
Mailing address
PO BOX 407, TWISP, WA 98856-0407
(253) 318-9484
(509) 651-4121
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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