Organization
BLUME MATERNITY SUPPORT SERVICES
Active
Organization
BLUME MATERNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JSHAUNTAE MARSHALL (EXECUTIVE DIRECTOR)
(702) 337-4793
Entity
Organization
Contact information
Practice address
945 W CARSON ST APT 309, TORRANCE, CA 90502-2035
(702) 337-4793
Mailing address
8046 PAVAROTTI AVE, LAS VEGAS, NV 89178-8264
(702) 337-4793
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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