Provider Demographics
NPI:1033568274
Name:OSBORNE DOULA SERVICES
Entity Type:Organization
Organization Name:OSBORNE DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERMONI
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-593-0419
Mailing Address - Street 1:3156 MOUNT ZION RD APT 2102
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6804
Mailing Address - Country:US
Mailing Address - Phone:770-363-6835
Mailing Address - Fax:
Practice Address - Street 1:3156 MOUNT ZION RD APT 2102
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6804
Practice Address - Country:US
Practice Address - Phone:770-363-6835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty