Provider Demographics
NPI:1851184261
Name:SOUTHERN PERINATAL RN CO LLC
Entity type:Organization
Organization Name:SOUTHERN PERINATAL RN CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLEE
Authorized Official - Middle Name:ALAYNA
Authorized Official - Last Name:SHALING
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:850-851-9833
Mailing Address - Street 1:508B FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-1736
Mailing Address - Country:US
Mailing Address - Phone:850-851-9833
Mailing Address - Fax:
Practice Address - Street 1:508B FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-1736
Practice Address - Country:US
Practice Address - Phone:850-851-9833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care