Provider Demographics
NPI:1790475671
Name:SPLASH OF DOULA LLC
Entity Type:Organization
Organization Name:SPLASH OF DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PERINATAL DOULA
Authorized Official - Prefix:
Authorized Official - First Name:AALIYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-744-0743
Mailing Address - Street 1:43 KNOLLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 KNOLLWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4224
Practice Address - Country:US
Practice Address - Phone:401-744-0743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty