Provider Demographics
NPI:1023311545
Name:CEEJAY DOULA SERVICES LLC
Entity type:Organization
Organization Name:CEEJAY DOULA SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:NAOMI
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-251-6427
Mailing Address - Street 1:312 W FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32347-1921
Mailing Address - Country:US
Mailing Address - Phone:850-251-6427
Mailing Address - Fax:
Practice Address - Street 1:312 W FLORIDA ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32347-1921
Practice Address - Country:US
Practice Address - Phone:850-251-6427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376K00000X314000000X
FLCD(DONA)#5294374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility