Organization
LITTLE FLOWER CHILDREN & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN KUNDMUELLER (CFO)
(631) 929-6200
Entity
Organization
Contact information
Practice address
2450 N WADING RIVER RD, WADING RIVER, NY 11792-1402
(631) 929-6200
Mailing address
2450 N WADING RIVER RD, WADING RIVER, NY 11792-1402
(631) 929-6200
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01494875
—
NY
Enumeration date
05/02/2007
Last updated
08/22/2020
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