Organization
SACRED BIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY MANSFIELD (MIDWIFE/OWNER)
(307) 331-7430
Entity
Organization
Contact information
Practice address
860 RIVER DR, GUERNSEY, WY 82201
(307) 331-7430
(307) 939-2206
Mailing address
754 E COLE ST, WHEATLAND, WY 82201-8953
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
02/28/2023
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