Provider Demographics
NPI:1891315834
Name:LATCHED LLC
Entity Type:Organization
Organization Name:LATCHED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNC-OB, IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOELLICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-982-5018
Mailing Address - Street 1:710 CAPTAINS WAY
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-5244
Mailing Address - Country:US
Mailing Address - Phone:203-982-5018
Mailing Address - Fax:
Practice Address - Street 1:710 CAPTAINS WAY
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-5244
Practice Address - Country:US
Practice Address - Phone:203-982-5018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty