Provider Demographics
NPI:1174929921
Name:MY GENTLE BIRTH LLC
Entity type:Organization
Organization Name:MY GENTLE BIRTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIAN
Authorized Official - Last Name:QUINTILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-631-8177
Mailing Address - Street 1:202 GOLD KETTLE DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2721
Mailing Address - Country:US
Mailing Address - Phone:240-631-8177
Mailing Address - Fax:801-659-8177
Practice Address - Street 1:202 GOLD KETTLE DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2721
Practice Address - Country:US
Practice Address - Phone:240-631-8177
Practice Address - Fax:801-659-8177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty