Provider Demographics
NPI:1821384553
Name:FEELS LIKE HOME BIRTH SUITES
Entity Type:Organization
Organization Name:FEELS LIKE HOME BIRTH SUITES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LDEM, CPM
Authorized Official - Phone:801-615-1733
Mailing Address - Street 1:90 E 200 S
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2602
Mailing Address - Country:US
Mailing Address - Phone:801-615-1733
Mailing Address - Fax:
Practice Address - Street 1:90 E 200 S
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2602
Practice Address - Country:US
Practice Address - Phone:801-615-1733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT73624783400261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing