Provider Demographics
NPI:1740171917
Name:DELACRUZ DAVILA HOLISTIC SERVICES LLC
Entity type:Organization
Organization Name:DELACRUZ DAVILA HOLISTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELACRUZ DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CD
Authorized Official - Phone:774-701-0378
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01524-0085
Mailing Address - Country:US
Mailing Address - Phone:774-701-0378
Mailing Address - Fax:
Practice Address - Street 1:11 SAYLES ST
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-1707
Practice Address - Country:US
Practice Address - Phone:774-701-0378
Practice Address - Fax:774-701-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty