Provider Demographics
NPI:1952426801
Name:LITTLE SEEDLINGS, INC.
Entity Type:Organization
Organization Name:LITTLE SEEDLINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RECCILLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BEAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-668-4569
Mailing Address - Street 1:5406 RAMBLING RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9503
Mailing Address - Country:US
Mailing Address - Phone:336-668-4569
Mailing Address - Fax:336-668-4569
Practice Address - Street 1:5406 RAMBLING RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9503
Practice Address - Country:US
Practice Address - Phone:336-668-4569
Practice Address - Fax:336-668-4569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-738320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities