Organization
THE GENESIS RESORT FOR BIRTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SOPER CNM (OWNER)
(540) 569-6745
Entity
Organization
Contact information
Practice address
905 BAYLOR ST, STAUNTON, VA 24401-2075
(540) 569-6745
(540) 900-2414
Mailing address
905 BAYLOR ST, STAUNTON, VA 24401-2075
(540) 569-6745
(540) 900-2414
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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