Provider Demographics
NPI:1215742853
Name:GRACEFUL HANDS DOULA CARE, LLC
Entity type:Organization
Organization Name:GRACEFUL HANDS DOULA CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS-PRIDGEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-288-4003
Mailing Address - Street 1:1690 WATERTOWER PL STE 100
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8045
Mailing Address - Country:US
Mailing Address - Phone:616-288-4003
Mailing Address - Fax:
Practice Address - Street 1:1690 WATERTOWER PL STE 100
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8045
Practice Address - Country:US
Practice Address - Phone:616-288-4003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty