Provider Demographics
NPI:1346244035
Name:ROSEMARY BIRTHING HOME, INC.
Entity Type:Organization
Organization Name:ROSEMARY BIRTHING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:DAHLBORG
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED MIDWIFE
Authorized Official - Phone:941-330-9966
Mailing Address - Street 1:800 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4021
Mailing Address - Country:US
Mailing Address - Phone:941-330-9966
Mailing Address - Fax:941-330-9921
Practice Address - Street 1:800 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4021
Practice Address - Country:US
Practice Address - Phone:941-330-9966
Practice Address - Fax:941-330-9921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL318261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing