Organization
LITTLE HANDS AND CREATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYESHA MARIE LITTLE (CE))
(862) 241-0147
Entity
Organization
Contact information
Practice address
1219 LIBERTY AVE, HILLSIDE, NJ 07205-2055
(862) 241-0147
Mailing address
1219 LIBERTY AVE, HILLSIDE, NJ 07205-1214
(862) 241-0147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255815486
—
NJ
Enumeration date
09/24/2018
Last updated
11/15/2019
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