Provider Demographics
NPI:1962432989
Name:BIRTH COTTAGE, INC
Entity type:Organization
Organization Name:BIRTH COTTAGE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:850-681-6969
Mailing Address - Street 1:260 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6208
Mailing Address - Country:US
Mailing Address - Phone:850-224-2229
Mailing Address - Fax:850-681-6969
Practice Address - Street 1:260 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6208
Practice Address - Country:US
Practice Address - Phone:850-224-2229
Practice Address - Fax:850-681-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL306176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty