Provider Demographics
NPI:1417325283
Name:CRADLED IN LOVE BIRTH SERVICES
Entity Type:Organization
Organization Name:CRADLED IN LOVE BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-735-8838
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-0727
Mailing Address - Country:US
Mailing Address - Phone:864-735-8838
Mailing Address - Fax:
Practice Address - Street 1:8483 S OLD LAURENS RD
Practice Address - Street 2:
Practice Address - City:GRAY COURT
Practice Address - State:SC
Practice Address - Zip Code:29645-6770
Practice Address - Country:US
Practice Address - Phone:864-735-8838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty