Provider Demographics
NPI:1538847983
Name:ALL ABOUT ME AND MY FAMILY
Entity type:Organization
Organization Name:ALL ABOUT ME AND MY FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INFANT, TODDLER, FAMILY SPECILIST
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MALLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:910-459-9451
Mailing Address - Street 1:1413 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5104
Mailing Address - Country:US
Mailing Address - Phone:910-459-9451
Mailing Address - Fax:910-333-1975
Practice Address - Street 1:1413 DAVIS ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5104
Practice Address - Country:US
Practice Address - Phone:910-459-9451
Practice Address - Fax:910-333-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency