# CRESCENT CITY DOULA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144633884
- **Authorized official:** MRS. SHANNON WILLIAMS CERTIFICATE (DOULA)
- **Authorized official phone:** (504) 644-3707

## Contact information

- **Practice address:** 3918 FORD ST, METAIRIE, LA 70002-6811
- **Practice address phone:** (504) 889-8344
- **Mailing address:** 3918 FORD ST, METAIRIE, LA 70002-6811
- **Mailing address phone:** (504) 889-8344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 374J00000X | LA | Yes |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 06/10/2014