# JEANETTE A. LITTLE LLC

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

## Provider details

- **NPI number:** 1922378413
- **Authorized official:** JEANETTE A LITTLE RN (NURSE)
- **Authorized official phone:** (304) 544-4237

## Contact information

- **Practice address:** 268 COUNTY ROAD 123, CHESAPEAKE, OH 45619-7097
- **Practice address phone:** (304) 544-4237
- **Practice address fax:** (640) 867-4236
- **Mailing address:** 268 COUNTY ROAD 123, CHESAPEAKE, OH 45619-7097
- **Mailing address phone:** (304) 544-4237
- **Mailing address fax:** (640) 867-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 50649 | WV | Yes |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 12/30/2011