Organization
TREE OF LIFE FAMILY BIRTH CENTER
Active
Organization
TREE OF LIFE FAMILY BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANN QUINKERT CNM (ADMINISTRATIVE DIRECTOR)
(812) 920-1580
Entity
Organization
Contact information
Practice address
1214 SPRING ST, JEFFERSONVILLE, IN 47130-3704
(812) 920-1580
Mailing address
301 GORDON GUTMANN BLVD STE 201, JEFFERSONVILLE, IN 47130-3766
(812) 282-6114
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200201490A
—
IN
Enumeration date
05/08/2018
Last updated
05/08/2018
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