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Organization
LITTLE TOWN, LLC
Active
Organization
LITTLE TOWN, LLC
Active
Other names
Grace Transitions
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SHAW (MANAGING MEMBER)
(313) 850-5663
Entity
Organization
Contact information
Practice address
38608 LYNX WAY, PALMDALE, CA 93551-5044
(313) 850-5663
Mailing address
38608 LYNX WAY, PALMDALE, CA 93551-5044
(313) 850-5663
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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