Provider Demographics
NPI:1417670092
Name:PARAMOUNT PERFORMANCE (HATCH DOULA SERVICE)
Entity Type:Organization
Organization Name:PARAMOUNT PERFORMANCE (HATCH DOULA SERVICE)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:CD-L , PPDS
Authorized Official - Phone:313-207-1100
Mailing Address - Street 1:22744 GODDARD RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4126
Mailing Address - Country:US
Mailing Address - Phone:313-207-1100
Mailing Address - Fax:
Practice Address - Street 1:22744 GODDARD RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4126
Practice Address - Country:US
Practice Address - Phone:313-207-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty