Provider Demographics
NPI:1104151661
Name:BEACH BABY'S DOULA SERVICES INC.
Entity type:Organization
Organization Name:BEACH BABY'S DOULA SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CD(DONA)
Authorized Official - Phone:843-213-1393
Mailing Address - Street 1:6505 HAWTHORNE LN
Mailing Address - Street 2:UNIT 4
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-3520
Mailing Address - Country:US
Mailing Address - Phone:843-213-1393
Mailing Address - Fax:843-213-1393
Practice Address - Street 1:6505 HAWTHORNE LN
Practice Address - Street 2:UNIT 4
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-3520
Practice Address - Country:US
Practice Address - Phone:843-213-1393
Practice Address - Fax:843-213-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty