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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