Provider Demographics
NPI:1568800225
Name:THE LATCH PATCH, LLC
Entity Type:Organization
Organization Name:THE LATCH PATCH, LLC
Other - Org Name:THE LATCH PATCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD-ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:340-779-9799
Mailing Address - Street 1:PO BOX 6725
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00804-6725
Mailing Address - Country:US
Mailing Address - Phone:340-779-9799
Mailing Address - Fax:
Practice Address - Street 1:4003 RAPHUNE HILL RD
Practice Address - Street 2:ALCOHENS PLAZA BUILDING 3, SUITE 601
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2904
Practice Address - Country:US
Practice Address - Phone:340-779-9799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIAP11384176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty