Organization
SACREDME
Active
Other names
SacredMe.Love
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLOYA P ADEDAPOIDLE TYEHIMBA-FORD DOULA, CEO (LAY MIDWIFE/OWNER)
(925) 250-5400
Entity
Organization
Contact information
Practice address
623 SHADDICK DR, ANTIOCH, CA 94509-5044
(510) 691-5169
Mailing address
623 SHADDICK DR, ANTIOCH, CA 94509-5044
(510) 691-5169
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
CA
253Z00000X
In Home Supportive Care Agency
—
CA
261QB0400X
Birthing Clinic/Center
—
CA
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
CA
305S00000X
Point of Service
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99499
—
CA
05
—
99501
—
CA
05
—
99502
—
CA
Enumeration date
10/05/2017
Last updated
10/05/2017
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