Organization
HOMESTEAD NATURAL BIRTH CENTER, INC
Active
Organization
HOMESTEAD NATURAL BIRTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JOHNSON LM (CLINICAL DIRECTOR)
(209) 482-8682
Entity
Organization
Contact information
Practice address
1608 SUNRISE AVE STE A, MODESTO, CA 95350-4678
(209) 622-0226
(209) 622-0220
Mailing address
1608 SUNRISE AVE STE A, MODESTO, CA 95350-4678
(209) 622-0226
(209) 622-0220
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4552190
ARTICLES OF INCORPORATION
CA
Enumeration date
03/10/2020
Last updated
03/10/2020
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