Organization
LITTLE ANGELS CLUB, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY MELENDEZ (SPEECH AND HEARING HANDICAPPED)
(845) 401-0356
Entity
Organization
Contact information
Practice address
2503 CONSTITUTION WAY, NEW WINDSOR, NY 12553-4919
(845) 401-0356
Mailing address
2503 CONSTITUTION WAY, NEW WINDSOR, NY 12553-4919
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
505951041
NY
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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