DIVINE DESIGN BIRTH CENTER
Ambulatory Health at 34 St, San Angelo, TX

License number
Texas 150040
Category
Ambulatory Health
Type
Birthing
Owner
Name: KELLY ROLLINS MILLER LM, CPM
Title: OWNER
Phone: (325) 703-1456
Address
Address
428 W 34Th St, San Angelo, TX 76903
National Provider ID: 1508259193
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIVINE DESIGN BIRTH CENTER LLC

428 W 34 St, San Angelo, TX 76903

Doing business as:
Divine Design Birth Center LLC
Registration:
Jan 11, 2015
State ID:
0802132996
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Robert Wayne Miller (Managing Member),Kelly Miller (Managing Member)
Agent:
Robert Miller,428 W 34 St, San Angelo, TX 76903 (Physical)
TIN:
32056090437

Divine Design Birth Center LLC

101 Loch Lomond Rd, San Angelo, TX 76901

Industry:
Business Services, Nec, Nsk

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