Provider Demographics
NPI:1518703529
Name:OM MAMAS DOULAS, LLC
Entity type:Organization
Organization Name:OM MAMAS DOULAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ALDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:609-304-1330
Mailing Address - Street 1:1082 HAWTHORNE PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2369
Mailing Address - Country:US
Mailing Address - Phone:609-304-1330
Mailing Address - Fax:
Practice Address - Street 1:27 MAIN ST
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3498
Practice Address - Country:US
Practice Address - Phone:609-304-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty