Organization · NPI-2
A Woman'S Place LLC
Advanced Practice Midwife · Ketchikan, AK
NPI number1801183728
StatusActive
Last updated in NPPESJun 29, 2011
Details
- NPI
- 1801183728
- Entity type
- Organization (NPI-2)
- Legal business name
- A Woman'S Place LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2011
- Last updated
- Jun 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AK-524 | AK | Yes |
Practice location
1601 Tongass AveSuite 100
Ketchikan, AK 99901-6800
Phone 907-225-1231 · Fax 907-147-1231
Mailing address
Po Box 8098Ketchikan, AK 99901-3098
Phone 907-225-1231 · Fax 907-247-1231
Authorized official
Herbert Leroy Small
Manager
9072251231
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