Provider Demographics
NPI:1437629532
Name:LITTLE LIVES DEVELOPMENT, LLC
Entity Type:Organization
Organization Name:LITTLE LIVES DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-875-6992
Mailing Address - Street 1:208 WOODLINE DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-6280
Mailing Address - Country:US
Mailing Address - Phone:606-875-6992
Mailing Address - Fax:606-425-4908
Practice Address - Street 1:208 WOODLINE DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-6280
Practice Address - Country:US
Practice Address - Phone:606-875-6992
Practice Address - Fax:606-425-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency