Provider Demographics
NPI:1972010825
Name:NIL DESPERANDUM, INC
Entity Type:Organization
Organization Name:NIL DESPERANDUM, INC
Other - Org Name:LATCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LACTATION CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MERCER
Authorized Official - Last Name:PASTURES
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, IBCLC
Authorized Official - Phone:912-306-4619
Mailing Address - Street 1:1 PRINCE CHARLES CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6234
Mailing Address - Country:US
Mailing Address - Phone:912-306-4619
Mailing Address - Fax:
Practice Address - Street 1:1692 CHATHAM PKWY
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1350
Practice Address - Country:US
Practice Address - Phone:912-306-4619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-01
Last Update Date:2018-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALC000010174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty