Organization
ALYSSA LITTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA LITTLE (LPN)
(937) 658-0454
Entity
Organization
Contact information
Practice address
207 ELIZABETH DR, RUSSIA, OH 45363-9761
(937) 658-0454
Mailing address
207 ELIZABETH DR, RUSSIA, OH 45363-9761
(937) 658-0454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LPN.162926.MEDS-IV
OH
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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