Provider Demographics
NPI:1265940902
Name:BRIGHT BLESSINGS BIRTH SERVICES
Entity type:Organization
Organization Name:BRIGHT BLESSINGS BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:CD, CPPD, SBD, CBE
Authorized Official - Phone:314-328-9662
Mailing Address - Street 1:113 KATHY DR
Mailing Address - Street 2:
Mailing Address - City:SHILOH
Mailing Address - State:IL
Mailing Address - Zip Code:62269-3632
Mailing Address - Country:US
Mailing Address - Phone:314-328-9662
Mailing Address - Fax:
Practice Address - Street 1:113 KATHY DR
Practice Address - Street 2:
Practice Address - City:SHILOH
Practice Address - State:IL
Practice Address - Zip Code:62269-3632
Practice Address - Country:US
Practice Address - Phone:314-328-9662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty