Provider Demographics
NPI:1104140888
Name:HONOR OUR MOTHERS, LLC
Entity type:Organization
Organization Name:HONOR OUR MOTHERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:REICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-220-5135
Mailing Address - Street 1:615 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-1121
Mailing Address - Country:US
Mailing Address - Phone:641-220-5135
Mailing Address - Fax:563-203-9149
Practice Address - Street 1:615 2ND ST E
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1121
Practice Address - Country:US
Practice Address - Phone:641-220-5135
Practice Address - Fax:563-203-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty