Organization
WHOLE HEARTED BIRTH, LLC
Active
Other names
Whole Hearted Birth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA S NEWMAN LM, CPM (MIDWIFE)
(208) 360-1703
Entity
Organization
Contact information
Practice address
9732 N 70TH E, IDAHO FALLS, ID 83401-5566
(208) 360-1703
(208) 550-3294
Mailing address
9732 N 70TH E, IDAHO FALLS, ID 83401-5566
(208) 360-1703
(208) 550-3294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID012834
—
ID
Enumeration date
09/14/2018
Last updated
09/14/2018
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