Organization
HOME SWEET HOME BIRTH CENTER, LLC
Active
Organization
HOME SWEET HOME BIRTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA JEAN LUXFORD LDM-CPM (OWNER)
(541) 996-3968
Entity
Organization
Contact information
Practice address
3013 N NORTH BANK RD, OTIS, OR 97368-9754
(541) 996-3968
(541) 996-6353
Mailing address
3013 N NORTH BANK RD, OTIS, OR 97368-9754
(541) 996-3968
(541) 996-6353
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
07-1569
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205960093
—
OR
Enumeration date
02/09/2010
Last updated
02/09/2010
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