Provider Demographics
NPI:1497456123
Name:SHAW DOULA SERVICES
Entity Type:Organization
Organization Name:SHAW DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCISCA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-861-5027
Mailing Address - Street 1:950 JACOBS FARM DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-8704
Mailing Address - Country:US
Mailing Address - Phone:206-861-5027
Mailing Address - Fax:
Practice Address - Street 1:950 JACOBS FARM DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-8704
Practice Address - Country:US
Practice Address - Phone:206-861-5027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty