Provider Demographics
NPI:1144454018
Name:FAMILYWAY MIWIFERY CARE
Entity type:Organization
Organization Name:FAMILYWAY MIWIFERY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:TULIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-276-6487
Mailing Address - Street 1:116 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4256
Mailing Address - Country:US
Mailing Address - Phone:734-276-6487
Mailing Address - Fax:734-747-8613
Practice Address - Street 1:116 S 7TH ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4256
Practice Address - Country:US
Practice Address - Phone:734-276-6487
Practice Address - Fax:734-747-8613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty