Provider Demographics
NPI:1669145389
Name:CENTRAL CAROLINA DOULAS LLC
Entity type:Organization
Organization Name:CENTRAL CAROLINA DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-728-2926
Mailing Address - Street 1:154 BOW ST STE C
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-2300
Mailing Address - Country:US
Mailing Address - Phone:910-728-2926
Mailing Address - Fax:
Practice Address - Street 1:154 BOW ST STE C
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-2300
Practice Address - Country:US
Practice Address - Phone:910-728-2926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No253Z00000XAgenciesIn Home Supportive Care