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Mountain Home Birth & Midwifery LLC

Details

Name: Mountain Home Birth & Midwifery LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 21 Jul 2020 (4 years ago)
Entity Number: 001-061-584
Register Number: 001061584
County: De Kalb
Place of Formation: Georgia
Principal Address: 1825 Glenn BLVD SW #166Fort Payne, AL 35968
Principal Address ZIP Code: 35968

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295321552 2020-12-21 2023-05-20 1825 GLENN BLVD SW # 166, FORT PAYNE, AL, 359683533, US 1949 GAULT AVE N STE 104, FORT PAYNE, AL, 359673483, US

Contacts

Phone +1 256-330-7008
Fax 7069845395

Authorized person

Name MS. BEVERLY MARIA CRANFORD
Role OWNER
Phone 2563307008

Taxonomy

Taxonomy Code 261QB0400X - Birthing Clinic/Center
Is Primary Yes

Agent

Name Role
Cranford, Beverly M Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State