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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