Provider Demographics
NPI:1215685359
Name:WOMB INTENSIVE SYSTEMATIC HOLISTIC CARE
Entity type:Organization
Organization Name:WOMB INTENSIVE SYSTEMATIC HOLISTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:215-929-6200
Mailing Address - Street 1:PO BOX 18839
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-0839
Mailing Address - Country:US
Mailing Address - Phone:215-929-6200
Mailing Address - Fax:
Practice Address - Street 1:5356 CHEW AVE BLDG B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-2804
Practice Address - Country:US
Practice Address - Phone:215-929-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty