Provider Demographics
NPI:1508256389
Name:A TIME TO BE BORN
Entity Type:Organization
Organization Name:A TIME TO BE BORN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DETRAH
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:HELE
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:559-285-5343
Mailing Address - Street 1:4670 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-1632
Mailing Address - Country:US
Mailing Address - Phone:559-285-5343
Mailing Address - Fax:559-221-7579
Practice Address - Street 1:1125 T ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1412
Practice Address - Country:US
Practice Address - Phone:559-374-5874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing