Organization
EARLY INTERVENTION FOR LITTLE LLC
Active
Organization
EARLY INTERVENTION FOR LITTLE LLC
Active
Other names
Early Intervention For Littles LLC, Early Intervention for Littles LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBROOKE J SULLIVAN WALTERS (OWNER)
(270) 537-5600
Entity
Organization
Contact information
Practice address
7891 N DIXIE HWY, BONNIEVILLE, KY 42713-8308
(270) 537-5600
Mailing address
7891 N DIXIE HWY, BONNIEVILLE, KY 42713-8308
(270) 537-5600
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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