Organization
BEAUTIFUL MOUNTAIN BIRTH & MIDWIFERY
Active
Parent organization
BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC
Other names
Beautiful Mountain Birth Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC
Authorized official
ANGIE RENA BLACKETT CPM, LDEM (OWNER/DIRECTOR)
(801) 200-1873
Entity
Organization
Contact information
Practice address
7611 S JORDAN LANDING BLVD STE 120&130, WEST JORDAN, UT 84084-5610
(801) 252-6243
Mailing address
826 E 12300 S STE 2, DRAPER, UT 84020-8276
(801) 252-6243
(801) 901-4531
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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