Provider Demographics
NPI:1346664737
Name:OH BABY LLC
Entity Type:Organization
Organization Name:OH BABY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CCE, IBCLC
Authorized Official - Phone:864-490-3697
Mailing Address - Street 1:340 MINKUM RD
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-6133
Mailing Address - Country:US
Mailing Address - Phone:864-490-3697
Mailing Address - Fax:
Practice Address - Street 1:340 MINKUM RD
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-6133
Practice Address - Country:US
Practice Address - Phone:864-490-3697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC205584163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty