Provider Demographics
NPI:1952136624
Name:TODDLERSRUS2, LLC
Entity type:Organization
Organization Name:TODDLERSRUS2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:WAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-496-9325
Mailing Address - Street 1:41 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1634
Mailing Address - Country:US
Mailing Address - Phone:917-497-9325
Mailing Address - Fax:516-285-0518
Practice Address - Street 1:41 IRVING ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1634
Practice Address - Country:US
Practice Address - Phone:917-497-9325
Practice Address - Fax:516-285-0518
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TODDLERSRUS2, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency