Provider Demographics
NPI:1336911726
Name:LITTLE SEEDS MATTER
Entity Type:Organization
Organization Name:LITTLE SEEDS MATTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON-CHOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:951-488-4253
Mailing Address - Street 1:1450 UNIVERSITY AVE # F-508
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-4467
Mailing Address - Country:US
Mailing Address - Phone:951-488-4253
Mailing Address - Fax:
Practice Address - Street 1:1450 UNIVERSITY AVE # F-508
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-4467
Practice Address - Country:US
Practice Address - Phone:951-488-4253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health