MEDICARE: MOTHER'S HELPER DOULA SVC., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC1551	NC
2	251J00000X	Nursing Care Agency	HC1551	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922143841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER'S HELPER DOULA SVC., INC.

Provider Business Mailing Address
First Line	:	1109 HOPE MILLS RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4246
Country	:	US
Telephone Number	:	910-486-8705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 HOPE MILLS RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4246
Country	:	US
Telephone Number	:	910-486-8705
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. CYNTHIA G FOLEY
Credential	:	PRESIDENT
Telephone Number	:	910-486-8705

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/13/2012

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Directions to “MOTHER'S HELPER DOULA SVC., INC. ” Practice Location

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