Organization
WILD AT HEART BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LYNN JONES LM (MIDWIFE / OWNER)
(951) 553-9804
Entity
Organization
Contact information
Practice address
40700 CALIFORNIA OAKS RD STE 108, MURRIETA, CA 92562-5789
(951) 553-9804
(951) 602-8181
Mailing address
40700 CALIFORNIA OAKS RD STE 108, MURRIETA, CA 92562-5789
(951) 553-9804
(951) 602-8181
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
251E00000X
Home Health Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7053443
—
CA
Enumeration date
12/15/2022
Last updated
12/15/2022
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