Provider Demographics
NPI:1073063541
Name:CRADLE CONNECTIONS LLC
Entity Type:Organization
Organization Name:CRADLE CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:DOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-275-1138
Mailing Address - Street 1:18101 I DR N
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-9462
Mailing Address - Country:US
Mailing Address - Phone:269-275-1138
Mailing Address - Fax:
Practice Address - Street 1:18101 I DR N
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-9462
Practice Address - Country:US
Practice Address - Phone:269-275-1138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-09
Last Update Date:2016-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency