Provider Demographics
NPI:1265973952
Name:LIFE WITHIN BIRTH SERVICES, LLC
Entity type:Organization
Organization Name:LIFE WITHIN BIRTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PROFESSIONAL MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEESE
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:717-377-8757
Mailing Address - Street 1:504 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2009
Mailing Address - Country:US
Mailing Address - Phone:717-377-8757
Mailing Address - Fax:717-754-0604
Practice Address - Street 1:504 COLONY RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2009
Practice Address - Country:US
Practice Address - Phone:717-377-8757
Practice Address - Fax:717-754-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty