Organization
LITTLE CHAMPS PPEC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY E MULLALES (OWNER)
(305) 498-7491
Entity
Organization
Contact information
Practice address
12820 KENWOOD LN STE 5, FORT MYERS, FL 33907-5617
(305) 498-7491
Mailing address
12820 KENWOOD LN STE 5, FORT MYERS, FL 33907-5617
(305) 498-7491
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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