Organization
LAVENDER AND ROSES BIRTH & MOTHERING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LEE BUSHNELL CPM (MIDWIFE)
(208) 946-0640
Entity
Organization
Contact information
Practice address
516 LOUISIANA AVE, LIBBY, MT 59923-2134
(406) 293-6262
Mailing address
672 MEADOW CREEK RD, BONNERS FERRY, ID 83805-5610
(208) 946-0640
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2010
Last updated
11/27/2010
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