Healthcare Provider Details

I. General information

NPI: 1457195661
Provider Name (Legal Business Name): LITTLE RED HEN NURSERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 EAST AVE
CHICO CA
95926-1454
US

IV. Provider business mailing address

979 EAST AVE
CHICO CA
95926-1454
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIKA BIRKHOLM
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 530-894-1300