Organization
GENESIS BIRTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERRIA COFFEE CLC CD CBE CHW MH MA (OWNER)
(717) 970-3009
Entity
Organization
Contact information
Practice address
1307 PARK AVE, #10, WILLIAMSPORT, PA 17701-2610
(717) 970-3009
(717) 970-3009
Mailing address
1307 PARK AVE, #10, WILLIAMSPORT, PA 17701
(717) 970-3009
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
261QC1500X
Community Health Clinic/Center
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
08/27/2021
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