Provider Demographics
NPI:1225662539
Name:GREATEST JOY BIRTH SERVICES
Entity Type:Organization
Organization Name:GREATEST JOY BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HAMMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-443-6429
Mailing Address - Street 1:212 W MARBLE ST
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-4450
Mailing Address - Country:US
Mailing Address - Phone:469-443-6429
Mailing Address - Fax:469-444-5004
Practice Address - Street 1:212 W MARBLE ST
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4450
Practice Address - Country:US
Practice Address - Phone:469-443-6429
Practice Address - Fax:469-444-5004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREATEST JOY BIRTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing