Provider Demographics
NPI:1457187593
Name:AAVE DOULA COLLABORATIVE
Entity type:Organization
Organization Name:AAVE DOULA COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALREEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-622-3142
Mailing Address - Street 1:PO BOX 1313
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-1313
Mailing Address - Country:US
Mailing Address - Phone:862-622-3142
Mailing Address - Fax:
Practice Address - Street 1:2 CUSTER AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2542
Practice Address - Country:US
Practice Address - Phone:862-622-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty