Organization
LITTLE HEROES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FITZGERALD (OWNER/CEO)
(480) 222-4100
Entity
Organization
Contact information
Practice address
1818 E SOUTHERN AVE, MESA, AZ 85204-5228
(480) 222-4100
Mailing address
PO BOX 8998, MESA, AZ 85214-8998
(480) 222-4100
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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