Provider Demographics
NPI:1326334400
Name:TINY FOOTPRINTS, INC.
Entity Type:Organization
Organization Name:TINY FOOTPRINTS, INC.
Other - Org Name:BABY JUNK/DIAPER DUDEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-571-4388
Mailing Address - Street 1:10915 PRAIRIE BROOK RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4828
Mailing Address - Country:US
Mailing Address - Phone:402-571-4388
Mailing Address - Fax:
Practice Address - Street 1:10915 PRAIRIE BROOK RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4828
Practice Address - Country:US
Practice Address - Phone:402-571-4388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies