Provider Demographics
NPI:1457951352
Name:M-BRACE BIRTHING LLC
Entity type:Organization
Organization Name:M-BRACE BIRTHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARVELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:YING
Authorized Official - Suffix:
Authorized Official - Credentials:CD
Authorized Official - Phone:229-444-3416
Mailing Address - Street 1:17 HUNTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-1098
Mailing Address - Country:US
Mailing Address - Phone:314-451-1193
Mailing Address - Fax:
Practice Address - Street 1:17 HUNTWOOD CT
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-1098
Practice Address - Country:US
Practice Address - Phone:314-451-1193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty