The Suggah Shack Healing Farm & Market, LLC
Organization Active NPI Midwife · Iowa, LA
NPI 1497594063 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1497594063
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Midwife 176B00000X
- Legal business name
- THE SUGGAH SHACK HEALING FARM & MARKET, LLC
- Practice address
- 19496 Raoul Rd
Iowa, LA 70647-6716 - Phone
- (415) 244-7901
- NPI assigned
- May 22, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- THE SUGGAH SHACK HEALING FARM & MARKET, LLC
Authorized official
- Name
- Jayvon Muhammad, L.M., C.P.M.
- Title
- Owner
- Phone
- (415) 244-7901
National Provider Directory
- Part of
- The Suggah Shack Healing Farm Market LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | Yes |
Addresses
Primary practice location
19496 Raoul Rd
Iowa, LA 70647-6716
Mailing address
19496 Raoul Rd
Iowa, LA 70647-6716
Phone (415) 244-7901
Other names
- Suggah Shack Midwifery
Other providers in Iowa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.