Healthcare Provider Details

I. General information

NPI: 1992484018
Provider Name (Legal Business Name): THE LITTLEST FLOWERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023
Certification Date: 07/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 RAPIDS DR
RACINE WI
53404-1622
US

IV. Provider business mailing address

5132 N 60TH ST
MILWAUKEE WI
53218-4103
US

V. Phone/Fax

Practice location:
  • Phone: 262-900-1383
  • Fax:
Mailing address:
  • Phone: 262-900-1383
  • Fax: 414-755-0646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: CHERYL NORAH
Title or Position: OWNER
Credential:
Phone: 262-900-1383