Provider Demographics
NPI:1154017424
Name:DAUGHTERS OF RAHAB DOULA HELATH AND WELLNESS
Entity type:Organization
Organization Name:DAUGHTERS OF RAHAB DOULA HELATH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-733-5802
Mailing Address - Street 1:24001 SOUTHFIELD RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2800
Mailing Address - Country:US
Mailing Address - Phone:248-733-5802
Mailing Address - Fax:
Practice Address - Street 1:24001 SOUTHFIELD RD STE 103
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2800
Practice Address - Country:US
Practice Address - Phone:248-733-5802
Practice Address - Fax:248-732-2871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty