Provider Demographics
NPI:1295103745
Name:LITTLE, DOVETTE DENISE (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:DOVETTE
Middle Name:DENISE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 MINNESOTA AVE SE
Mailing Address - Street 2:203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-8269
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3521 MINNESOTA AVE SE
Practice Address - Street 2:203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-8269
Practice Address - Country:US
Practice Address - Phone:202-904-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11502171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications